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Individual

MR. JEREMY EUGENE GLASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
SAGINAW VALLEY STATE UNIVERSITY, 7400 BAY ROAD, UNIVERSITY CENTER, MI 48710-0001
(989) 964-2121
Mailing address
4641 CLUNIE ST, SAGINAW, MI 48638-6521
(989) 996-0277

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000142
MI

Other

Enumeration date
04/04/2006
Last updated
06/10/2014
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