Individual
DR. GLEB GREGORY GENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5315064892
MI
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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