Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Gillum, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790773091

Jeffrey Gillum, MD is an Obstetrics & Gynecology Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4727 Saint Antoine St Ste 210
Detroit, MI 48201-1461
Phone: (313) 831-3066
Fax: (313) 831-8438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301041555 (MI)

Record details

NPI number1790773091
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESFebruary 1, 2010

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