Individual
MICHAEL J GLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD439695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1755
—
VT
05
—
3145140
—
MA
Enumeration date
09/14/2005
Last updated
03/27/2013
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