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NPI Profile for MARY R GILLAM in ROYAL OAK, MI.
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
207PP0204X | 93 | Physician/Emergency Medicine | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1578143608 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 04/13/2021 | |
| Last updated | 01/28/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY R GILLAM
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MARY R GILLAM, DO