| NPI | 1669064846 |
|---|---|
| Other Name | JAY GILLESPIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010387) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 5601010387) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |