Individual
DR. GLENN KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6450 FARMINGTON RD, SUITE 105, WEST BLOOMFIELD, MI 48322-4455
(248) 661-0100
(248) 661-5385
Mailing address
147 N HAVEN ST, NOVI, MI 48377-1316
(248) 661-0100
(248) 661-5385
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
GK053922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4202040
—
MI
Enumeration date
05/10/2006
Last updated
07/08/2007
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