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Individual

MR. GLOWILL PAMBID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1411 3RD ST, PORT HURON, MI 48060-5480
(800) 451-0481
Mailing address
4067 LOUELLA DR, WATERFORD, MI 48329-4124
(248) 238-6279

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016109
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043579055
MI
Enumeration date
05/10/2012
Last updated
12/21/2018
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