Individual
MICHAEL ADAM GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RAYMOND RD, CHARLOTTESVILLE, VA 22902-6014
(929) 304-3735
Mailing address
901 RAYMOND RD, CHARLOTTESVILLE, VA 22902-6014
(929) 304-3735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0116035066
VA
Other
Enumeration date
06/21/2017
Last updated
12/28/2021
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