Individual
PETER W GLAESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9587
(205) 975-4623
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 638-9587
(205) 975-4623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.19725
AL
208000000X
Pediatrics Physician
MD.19725
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.19725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009928440
—
AL
05
—
101880
—
AL
01
—
1487641635
TRICARE SOUTH
AL
01
—
4480557
AETNA
AL
01
—
510-45712
BCBS
AL
01
—
510-95300
BCBS
AL
Enumeration date
10/03/2005
Last updated
07/10/2019
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