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Organization
GLEGEN MEDICAL PLLC
Active
Organization
GLEGEN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEB GENDEL DO (SOLE MBR)
(877) 340-1697
Entity
Organization
Contact information
Practice address
5165 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1015
(877) 340-1697
Mailing address
5165 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
10/06/2026
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