Individual
MR. JAY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
5601010387
MI
363A00000X
Physician Assistant
Primary
5601010387
MI
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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