# GLENNAN MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285632364
- **Authorized official:** DR. SHERYL WISSMAN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (248) 628-2233

## Contact information

- **Practice address:** 72 S WASHINGTON ST, SUITE 204, OXFORD, MI 48371-6421
- **Practice address phone:** (248) 628-2233
- **Practice address fax:** (248) 628-2384
- **Mailing address:** 72 S WASHINGTON ST, SUITE 204, OXFORD, MI 48371-6421
- **Mailing address phone:** (248) 628-2233
- **Mailing address fax:** (248) 628-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301051927 | MI | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 04/22/2020