Individual
GLENN V DREGANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 OAKLAND DRIVE, KALAMAZOO, MI 49008
(269) 337-6500
Mailing address
1000 OAKLAND DRIVE, KALAMAZOO, MI 49008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34006599
OH
207Q00000X
Family Medicine Physician
Primary
5101010072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141266
ANTHEM
OH
01
—
01-03514
UHC
OH
01
—
02492
PARAMOUNT
OH
01
—
080130453
RRMC
OH
05
—
2011218
—
OH
01
—
865657
AETNA
OH
Enumeration date
07/21/2005
Last updated
11/27/2023
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