Christopher J Gilman, MD
Individual provider Active NPI Family Medicine Physician · Delavan, WI
NPI 1437198736 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1437198736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41721-020 (WI)
- Practice address
- 540 Bowers Blvd
Dean Medical Center
Delavan, WI 53115-1958 - Phone
- (262) 728-5568
- Fax
- (262) 728-7837
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41721-020 | WI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41721-020 | WI | Yes |
Addresses
Primary practice location
540 Bowers Blvd
Dean Medical Center
Delavan, WI 53115-1958
Mailing address
540 Bowers Blvd
Dean Medical Center
Delavan, WI 53115-1958
Phone (262) 728-5568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32608500 | Medicaid | WI | |
| 7546 | Other | WI | DEAN HEALTH INSURANCE |
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All providers in Delavan, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.