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Individual

DR. MARTIN P. GLEESPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1290 S MAIN ST, SUITE C, CHELSEA, MI 48118-1454
(734) 475-1107
(734) 475-9230
Mailing address
1290 S MAIN ST, SUITE C, CHELSEA, MI 48118-1454
(734) 475-1107
(734) 475-9230

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MG048067
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3253813 TYPE 10
MI
Enumeration date
07/10/2006
Last updated
12/19/2022
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