Provider Demographics
NPI:1558305193
Name:GILBERT, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:GILBERT
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2318 GULL RD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-3619
Mailing Address - Country:US
Mailing Address - Phone:269-353-9821
Mailing Address - Fax:269-353-9857
Practice Address - Street 1:2318 GULL RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-3619
Practice Address - Country:US
Practice Address - Phone:269-353-9821
Practice Address - Fax:269-353-9857
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301033979207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1703908761OtherBCBS IND PIN
B45659Medicare UPIN