Individual
GLENN KRESAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 LOCUST ST, SUITE 224, PITTSBURGH, PA 15219-5136
(412) 471-4772
(412) 471-0659
Mailing address
1501 LOCUST ST, SUITE 224, PITTSBURGH, PA 15219-5136
(412) 471-4772
(412) 471-0659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052161
PA
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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