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Organization
GLORY HEALTH, LLC
Active
Organization
GLORY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN BLICHARZ (OWNER)
(248) 805-2000
Entity
Organization
Contact information
Practice address
23077 GREENFIELD RD STE 222, SOUTHFIELD, MI 48075-3745
(248) 805-2000
(888) 283-9115
Mailing address
39694 ROCKCREST LN, NORTHVILLE, MI 48168-3965
(248) 805-2000
(888) 283-9115
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
NULL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
03/01/2018
Last updated
03/06/2018
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