Individual
DR. JEFFREY GLOBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Mailing address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101025132
MI
207R00000X
Internal Medicine Physician
5101023276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447770672
—
MI
Enumeration date
06/20/2017
Last updated
06/07/2021
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