Individual
JAMES WILLARD GILSON
Active
Individual
JAMES WILLARD GILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7806
MCARE
MI
01
—
P00097690
RAILROAD MEDICARE
—
01
—
P35076
HEALTH ALLIANCE PLAN
—
Enumeration date
04/12/2006
Last updated
06/20/2018
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