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Individual

MICHAEL GLICKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(202) 596-8891
Mailing address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(202) 596-8891

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116025888
VA
207Q00000X
Family Medicine Physician
D0088802
MD
207Q00000X
Family Medicine Physician
Primary
MD044148
DC

Other

Enumeration date
06/27/2013
Last updated
09/09/2024
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