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Individual

CHRISTIAN CONRAD GLASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
29955 THREE NOTCH RD STE 100, CHARLOTTE HALL, MD 20622-3159
(301) 290-5300
Mailing address
29955 THREE NOTCH RD STE 100, CHARLOTTE HALL, MD 20622-3159
(301) 290-5300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H0076339
MD
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
H0076339
MD

Other

Enumeration date
04/29/2009
Last updated
09/03/2013
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