Individual
NEVIN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 FOUSSARD AVE NW, ST JOHN, ND 58369
(701) 477-3111
Mailing address
104 MAIN ST, TURTLE LAKE, ND 58575-4001
(877) 609-3577
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19747
ND
Other
Enumeration date
04/05/2021
Last updated
09/06/2023
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