Individual
DR. CHAD ALAN GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8865 W 400 N STE 120, MICHIGAN CITY, IN 46360-9011
(219) 878-5031
(219) 879-5498
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01071618A
IN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01071618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201124820
—
IN
Enumeration date
02/06/2007
Last updated
02/03/2026
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