Individual
MARGO L GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2909 E GRAND RIVER AVE STE 102, LANSING, MI 48912-4335
(517) 364-8627
Mailing address
2909 E GRAND RIVER AVE STE 102, LANSING, MI 48912-4335
(517) 364-8627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004113
IL
363A00000X
Physician Assistant
Primary
5601007010
MI
Other
Enumeration date
01/04/2012
Last updated
03/24/2023
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