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Individual

MR. BRAD LEE GLIHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1559 CAMBRIDGE RD, BERKLEY, MI 48072-1967
(248) 219-3522
Mailing address
1559 CAMBRIDGE RD, BERKLEY, MI 48072-1967
(248) 219-3522

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704339634
MI
363LF0000X
Family Nurse Practitioner
Primary
4704339634
MI

Other

Enumeration date
01/19/2022
Last updated
12/11/2023
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