Individual
ELIZABETH GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 W BIG BEAVER RD, SUITE 228, TROY, MI 48084-2900
(248) 792-3633
Mailing address
3250 W BIG BEAVER RD, SUITE 228, TROY, MI 48084-2900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001087
MI
Other
Enumeration date
01/19/2008
Last updated
12/15/2015
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