Organization
BUSH&GILLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E GILLES (PRES.)
(715) 458-4552
Entity
Organization
Contact information
Practice address
907 MAIN ST., BOX 218, CAMERON, WI 54822
(715) 458-4552
(715) 458-2182
Mailing address
907 W. MAIN ST., BOX 218, CAMERON, WI 54822
(715) 458-4552
(715) 458-2182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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