Individual
MICHAEL P GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 GREAT SOUTHERN BLVD, COLUMBUS, OH 43207-4001
(614) 491-3435
(614) 491-1699
Mailing address
15933 CLAYTON RD STE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3605
OH
Other
Enumeration date
01/26/2006
Last updated
10/04/2016
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