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Individual

PETER F GLOERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5187
TX
207L00000X
Anesthesiology Physician
ME0046722
FL
207LP3000X
Pediatric Anesthesiology Physician
ME46722
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041878100
FL
Enumeration date
12/01/2005
Last updated
06/24/2025
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