DR. Mark Jay Mcgillem, M.D.

NPI #1700877339 in Mishawaka, Indiana

Provider Information

NPI Number
1700877339
Entity Type
Individual
Name
DR. Mark Jay Mcgillem, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Nov 2, 2005
Last Updated
Mar 15, 2012

Practice Location

Address
5215 HOLY CROSS PKWY
State
Indiana
ZIP Code
46545-1469
Phone
(574) 335-2521

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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