GILLUM FACIAL PLASTIC SURGERY, PC is a specialist in Marion, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GILLUM FACIAL PLASTIC SURGERY, PC NPI is 1063563617. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
330 N WABASH AVE
STE 210
MARION, IN
ZIP 46952-600
Phone: (765) 651-4278
Fax: (765) 664-6445
The provider's authorized official is Timothy G Gillum .
The authorized official title is Owner and has the following contact phone number (765) 651-4278.
The CLIA number assigned to this NPI record is 15D2148851 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.