Individual
DR. HOLLY CATHERINE GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(608) 335-2086
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.130748
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.130748
OH
207LP3000X
Pediatric Anesthesiology Physician
35.130748
OH
207LP3000X
Pediatric Anesthesiology Physician
58934
MN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
58934
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112389
—
OH
Enumeration date
04/03/2013
Last updated
07/01/2025
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