Individual
KATHERINE ANN GIELISSEN
Active
Individual
KATHERINE ANN GIELISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55280
CT
207R00000X
Internal Medicine Physician
Primary
95617
GA
208000000X
Pediatrics Physician
55280
CT
208000000X
Pediatrics Physician
95617
GA
Other
Enumeration date
03/20/2012
Last updated
07/13/2023
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