Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301042505 | MI |
Y | 208200000X | Surgeon | 4301042505 | MI |
Y | 208600000X | Surgeon | 4301042505 | MI |
N | 208200000X | Surgeon | 4301042505 | MI |
N | 208600000X | Surgeon | 4301042505 | MI |
N | 2086S0122X | Plastic and Reconstructive Surgery | 38151 | MA |
NPI | 1154398451 |
---|---|
Provider Name | Dr. Robert Harris Gilman |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2006 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21213 | HARVARD PILGRIM (01) | MA |
B48162 | BCBS (01) | MA |
B73256 | (02) | MA |