Individual
MICHAEL GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
859.323 5083, 800 ROSE ST M-53, LEXINGTON, KY 40536-0298
(859) 323-5083
Mailing address
800 ROSE ST # M-53, LEXINGTON, KY 40536-0293
(859) 323-6762
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4285
KY
Other
Enumeration date
03/23/2016
Last updated
07/10/2017
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