Individual
DR. TIMOTHY DAVID GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, R35, CLEVELAND, OH 44195-0001
(216) 444-0391
(216) 636-1711
Mailing address
9500 EUCLID AVE, DESK R-35, CLEVELAND, OH 44195-0001
(216) 444-0391
(216) 636-1711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.086452
OH
207RX0202X
Medical Oncology Physician
Primary
35.086452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120-1514
—
MA
05
—
2583708
—
OH
Enumeration date
11/04/2005
Last updated
07/27/2011
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