Individual
MR. ERNEST GLENN GORLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NFP-BC
Contact information
Practice address
913 EUGENE DR, HAVRE DE GRACE, MD 21078-2331
(443) 768-7378
(410) 939-0072
Mailing address
913 EUGENE DR, HAVRE DE GRACE, MD 21078-2331
(443) 768-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R224004
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R224004
MD
Other
Enumeration date
05/29/2022
Last updated
02/14/2024
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