Individual
MR. GERALD JAMES GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2919 STOUT RD, MENOMONIE, WI 54751-2313
(715) 309-4451
Mailing address
1308 KENILWORTH AVE, MOUNT PLEASANT, WI 53403-3642
(608) 513-0383
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
102440-030
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
238333
WI
363LA2200X
Adult Health Nurse Practitioner
AP8055
AZ
Other
Enumeration date
05/02/2006
Last updated
04/26/2022
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