Individual
PAUL DAVID GLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DRIVE, YPSILANTI, MI 48197-1501
(734) 712-3456
Mailing address
29043 MILLBROOK RD, FARMINGTON HILLS, MI 48334-3121
(419) 481-3206
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704344918
MI
367500000X
Certified Registered Nurse Anesthetist
4704344918NSA2408Z
MI
Other
Enumeration date
05/14/2024
Last updated
09/27/2024
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