Individual
DR. JOSEPH G GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 IRONWOOD CIR, SOUTH BEND, IN 46635-1864
(574) 247-4682
(574) 247-4685
Mailing address
2106 IRONWOOD CIR, SOUTH BEND, IN 46635-1864
(574) 247-4682
(574) 247-4685
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
1024859
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343010A
—
IN
Enumeration date
11/10/2005
Last updated
07/18/2013
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