Individual
DR. RICK D GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 N 87TH ST, SARGEANT HEALTH CENTER, MILWAUKEE, WI 53226-3586
(414) 805-5540
(414) 805-7878
Mailing address
840 N 87TH ST, SARGEANT HEALTH CENTER, MILWAUKEE, WI 53226-3586
(414) 805-5540
(414) 805-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30397
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000117G
HUMANA
—
01
—
110088240
RAILROAD MEDICARE
—
05
—
1962453746
—
WI
Enumeration date
05/15/2006
Last updated
11/06/2013
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