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Contact Information

MICHAEL J GILLEN, PhD
21425 SPRING STREET
UNION GROVE VA CLINIC
UNION GROVE, WI53182
 Phone: 262-878-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL J GILLEN · (Male)

NPI Number 1477925121
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/21/2015
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3313-57
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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