MARK JAY MCGILLEM

MISHAWAKA, IN
NPI1700877339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01051194A)
Enumeration Date2005-11-02
Last Update Date2012-03-15
Business Address
Dr. MARK JAY MCGILLEM M.D.
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-2521
Mailing Address
Dr. MARK JAY MCGILLEM M.D.
810 PARK PL
MISHAWAKA, IN 46545-3520
Phone number:
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