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Individual

DR. BRAEME SEYMOUR GLAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MICHEL MIROWSKI, MD, OFF. BLDG, 5051 GREENSPRING AVENUE, BALTIMORE, MD 21209
(410) 601-9515
(410) 601-8905
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D59171
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C31152
R/R MEDICARE GROUP #
MD
01
P00125518
R/R MEDICARE PROVIDER #
MD
Enumeration date
05/10/2006
Last updated
11/28/2007
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