Organization
LEONARD T GLINSKI DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD T GLINSKI DO (PRESIDENT)
(734) 261-8040
Entity
Organization
Contact information
Practice address
6255 INKSTER RD, SUITE 202, GARDEN CITY, MI 48135-2577
(734) 261-8040
(734) 261-8085
Mailing address
6255 INKSTER RD, SUITE 202, GARDEN CITY, MI 48135-2577
(734) 261-8040
(734) 261-8085
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
51005767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0458216344
BLUE CROSS BLUE SHIELD MI
MI
01
—
0458216354
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
10/30/2007
Last updated
03/20/2008
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