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Individual

GILLIAN REDLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1100 ANDRE ST, SUITE 100, NEW IBERIA, LA 70563-2159
(337) 365-5944
(337) 364-4377
Mailing address
1100 ANDRE ST, SUITE 100, NEW IBERIA, LA 70563-2159
(337) 365-5944
(337) 364-4377

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.022349
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1438774
LA
Enumeration date
11/16/2006
Last updated
11/26/2013
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