Individual
RACHEL L GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4250 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301057904
MI
2084P0800X
Psychiatry Physician
Primary
4301057904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2793508
—
MI
Enumeration date
11/15/2006
Last updated
01/18/2012
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