Individual
DR. JASON P GILLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31157 WOODWARD AVENUE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Mailing address
31157 WOODWARD AVENUE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35086508
OH
208800000X
Urology Physician
Primary
4301096814
MI
Other
Enumeration date
05/08/2006
Last updated
06/10/2022
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