| Mr Allesia Magellan Gillespie Iv, | |
|
707 W Milwaukee St, Detroit, MI 48202-2943 | |
| (313) 989-9444 | |
| Not Available |
| Full Name | Mr Allesia Magellan Gillespie Iv |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 707 W Milwaukee St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912726845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704340896 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Allesia Magellan Gillespie Iv, 707 W Milwaukee St, Detroit, MI 48202-2943 Ph: (313) 989-9444 | Mr Allesia Magellan Gillespie Iv, 707 W Milwaukee St, Detroit, MI 48202-2943 Ph: (313) 989-9444 |
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