Individual
DR. GLENN ALLEN CHAMULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 W UNIVERSITY DR, DEPARTMENT OF PATHOLOGY, ROCHESTER, MI 48307-1863
(248) 652-5264
(248) 652-5065
Mailing address
4099 AUTUMN VIEW CT, FENTON, MI 48430-9128
(810) 750-6630
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301054047
MI
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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