Gillum Facial Plastic Surgery, PC

NPI #1063563617 in Marion, Indiana

Provider Information

NPI Number
1063563617
Entity Type
Organization
Organization Name
Gillum Facial Plastic Surgery, PC
Primary Specialty
Specialist
Enumeration Date
Jan 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
330 N WABASH AVE
Address 2
STE 210
City
Marion
State
Indiana
ZIP Code
46952-2600
Phone
(765) 651-4278

Authorized Official

Name
TIMOTHY G GILLUM, MD
Title
OWNER
Phone
(765) 651-4278

Specialties & Taxonomy Codes

Specialty
Specialist

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