Individual
GREGORY R GLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
805 S OAKLAND ST, SAINT JOHNS, MI 48879-2253
(989) 224-6881
(989) 227-3347
Mailing address
1205 BLANCHETTE DR, EAST LANSING, MI 48823-1878
(989) 224-6881
(989) 227-3347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MI5101012635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1146534444
—
MI
01
—
MI5101012635
LICENCE NUMBER
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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