Benjamin C Gillen in Green Bay - Vascular & Interventional Radiology

Benjamin C Gillen - NPI 1316108343

Benjamin C Gillen is a Vascular & Interventional Radiology in Green Bay, Wisconsin. Benjamin C Gillen practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Benjamin C Gillen is 1316108343. The last update date is 2023-01-03.

Benjamin C Gillen's current location address is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can contact this provider via phone number 9209650007 and fax number 9202884956. The mailing address for Benjamin C Gillen is 2845 Greenbrier Rd, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin C Gillen
Address 2845 Greenbrier Rd, Green Bay, Wisconsin
Phone Number 9209650007
Fax Number 9202884956
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316108343
Provider Enumeration Date 2008-06-23
Last Updated Date 2023-01-03

Provider Mailing Address Detail

Address 2845 Greenbrier Rd
City Green Bay
State Wisconsin (WI)
Post Code 543116519
Phone Number 9209650007
Fax Number 9202884956

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 01072278A
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ENROLLED MN --
ENROLLED IA --

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FAQs about Benjamin C Gillen

What is the unique 10-digit identifier code issued to Benjamin C Gillen by the Centers for Medicare & Medicaid Services?

The Benjamin C Gillen has been assigned the NPI (National Provider Identifier) 1316108343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Benjamin C Gillen is geographically located?

The Benjamin C Gillen is physically situated at the following location: 2845 Greenbrier Rd, Green Bay, WI, 543116519.

What is Benjamin C Gillen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Benjamin C Gillen is Vascular & Interventional Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0204X.

On what date did the Benjamin C Gillen receive the assignment of its 1316108343 from the Centers for Medicare & Medicaid Services?

The Benjamin C Gillen was issued its 1316108343 by the Centers for Medicare & Medicaid Services on 2008-06-23.

When was the Benjamin C Gillen's information last updated?

The Benjamin C Gillen's information was last updated on 2023-01-03.

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