MEDICARE: DR. GILLIAN G ESSER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD00034839	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598768491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILLIAN G ESSER M.D.

Provider Business Mailing Address
First Line	:	5727 BAKER WAY NW STE 204
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5811
Country	:	US
Telephone Number	:	360-337-7369
Fax Number	:	360-337-1158

Provider Business Practice Location Address
First Line	:	5727 BAKER WAY NW STE 204
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-5811
Country	:	US
Telephone Number	:	360-337-7369
Fax Number	:	360-337-1158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/27/2024

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