Individual
COLE SAMUEL GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2001
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4351047597
MI
207P00000X
Emergency Medicine Physician
77055
CT
Other
Enumeration date
05/13/2021
Last updated
05/19/2024
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