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Individual

JAMES JOSEPH GLAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4160 JOHN R, #525, DETROIT, MI 48201
(313) 831-1100
(313) 831-1177
Mailing address
4160 JOHN R, #525, DETROIT, MI 48201
(313) 831-1100
(313) 831-1177

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301068259
MI
207RI0011X
Interventional Cardiology Physician
4301068259
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060824671
BCBS
MI
05
4180391
MI
Enumeration date
06/08/2006
Last updated
08/21/2013
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