Search › Indiana › 2085R0202X
Jeremy Gilliam, MD
NPI 1538284153 · on the registry since 2007
Practice
- Address
- 5001 Us Highway 30 W Ste D
Fort Wayne, IN 46818 - Phone
- (260) 432-4969
- Fax
- (260) 432-4969
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
2085R0202X - Licence states on file
- KY, OH, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana