Individual
MICHAEL D GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9904
Mailing address
PO BOX 421, STE 200, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00025477
WA
Other
Enumeration date
06/13/2006
Last updated
11/08/2021
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