NPI 1639758980

Nevin Gillis, MD

Practitioner General Practice Physician St John, ND

Practice location

Address: 128 Foussard Ave NW, St John, ND 58369
Phone: (701) 477-3111
Mailing address: 104 Main St, Turtle Lake, ND 58575-4001

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 19747 (ND)

Other General Practice providers in North Dakota →

Registry record

NPI: 1639758980
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2021
Record last updated: 6 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.