Individual
PAULETTE M GILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1521 N DETROIT ST, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-3505
Mailing address
PO BOX 817, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-3505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35045971
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830266
—
OH
Enumeration date
03/08/2006
Last updated
08/03/2012
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