Individual
MR. MICHAEL GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 E APPLE ST STE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3186
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN.352635
OH
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN.CNS.15989
OH
Other
Enumeration date
06/04/2014
Last updated
08/13/2018
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