Individual
BRYAN C GLESMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29030 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1010
(248) 356-1757
Mailing address
2157 LAWNDALE AVE, WEST BLOOMFIELD, MI 48323-3849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G425098108500
—
MI
Enumeration date
05/14/2019
Last updated
05/14/2019
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