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Organization

JAMES J GLAZIER MD PC

Active
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Organization

JAMES J GLAZIER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES J GLAZIER MD (SOLE BUSINESS OWNER)
(313) 831-1988
Entity
Organization

Contact information

Practice address
4160 JOHN R, SUITE 525, DETROIT, MI 48201
(313) 831-1100
(313) 831-1177
Mailing address
4160 JOHN R, SUITE 525, DETROIT, MI 48201
(313) 831-1100
(313) 831-1177

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4180391
MI
Enumeration date
11/30/2006
Last updated
03/11/2008
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