Individual
DR. STEPHEN M GLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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