Individual
MR. WILLIAM DEAN GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2897
Mailing address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2897
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28214636A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289737
MI
Other
Enumeration date
09/26/2005
Last updated
11/22/2016
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