Individual
MARTIN GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6535 ROCHESTER RD, SUITE 102, TROY, MI 48085-1362
(248) 813-0060
(248) 813-0066
Mailing address
6535 ROCHESTER RD, SUITE 102, TROY, MI 48085-1362
(248) 813-0060
(248) 813-0066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301080069
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301080069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MG080069
CHAMPUS-CHAMPUS
—
Enumeration date
09/05/2006
Last updated
02/04/2008
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