Individual
JOHN PATRICK GLEYSTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 EASTMORELAND AVE STE 260, MEMPHIS, TN 38104-7549
(901) 272-6051
(901) 266-6443
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
56203
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03936334
—
MS
05
—
223244001
—
AR
01
—
6120219
BCBS
TN
05
—
Q031018
—
TN
Enumeration date
05/16/2011
Last updated
03/26/2026
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