Tina Wong-Gillam, M.D.-PH.D.

Individual Active
NPI 1578940334
Surgical Oncology Physician Grand Rapids, MI

NPI 1578940334 belongs to Tina Wong-Gillam, M.D.-PH.D., a surgical oncology physician with a practice location in Grand Rapids, MI. The NPI was issued on April 30, 2015, and the record was last updated in NPPES on May 9, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Surgical Oncology Physician Primary 2086X0206X 4301508285 (MI)
Surgery Physician 208600000X 4301508285 (MI)

Practice location

145 Michigan St NE Ste 5500
Grand Rapids, MI 49503-2565
Phone: (616) 267-8540

Local context

Active NPPES records list 10 providers with surgical oncology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 41 in Michigan and 2,419 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Record history

Name on record
Tina W Wong-Gillam
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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