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Individual

DR. STEPHEN M GLATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7450 HOSPITAL DR, STE 150, DUBLIN, OH 43016-9641
(614) 766-5050
(614) 766-8080
Mailing address
PO BOX 536, GRANVILLE, OH 43023-0536
(740) 587-1361
(740) 587-1362

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40659
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200860280
IN
01
50014566
PASSPORT
KS
05
64130636
KY
Enumeration date
01/16/2007
Last updated
04/04/2019
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