Individual
JEFFREY A. GLEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3223 LAKESHORE DR, OLD HICKORY, TN 37138-2212
(217) 979-9396
(000) 000-0000
Mailing address
3223 LAKESHORE DR, OLD HICKORY, TN 37138-2212
(217) 979-9396
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28505
TN
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119517
—
IL
Enumeration date
09/23/2005
Last updated
07/15/2026
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