Individual
MICHAEL GILLISPIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 W SPRUCE ST, SEQUIM, WA 98382-3350
(360) 681-7089
(360) 582-0138
Mailing address
124 W SPRUCE ST, SEQUIM, WA 98382-3350
(360) 681-7089
(360) 582-0138
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000019
WA
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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