Individual
DR. STEFAN GLOWACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42370 VAN DYKE AVE, SUITE 107, STERLING HEIGHTS, MI 48314-3487
(586) 991-0051
(586) 991-0064
Mailing address
42370 VAN DYKE AVE, SUITE 107, STERLING HEIGHTS, MI 48314-3487
(586) 991-0051
(586) 991-0064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
SG040818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1420485 10
—
MI
01
—
2005071942
BCBSM
MI
Enumeration date
02/02/2007
Last updated
08/07/2013
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