# DR. GLENN KRIEGER & ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1386866135
- **Authorized official:** DR. GLENN D KRIEGER M.D. (OWNER)
- **Authorized official phone:** (248) 661-0100

## Contact information

- **Practice address:** 6450 FARMINGTON RD, SUITE 105, WEST BLOOMFIELD, MI 48322-4455
- **Practice address phone:** (248) 661-0100
- **Practice address fax:** (248) 661-5385
- **Mailing address:** 6450 FARMINGTON RD, SUITE 105, WEST BLOOMFIELD, MI 48322-4455
- **Mailing address phone:** (248) 661-0100
- **Mailing address fax:** (248) 661-5385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | B3480C | MI | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020
