Individual
DR. GLENN C ERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4313 S 7TH ST, TERRE HAUTE, IN 47802-4365
(812) 234-0555
(812) 478-1185
Mailing address
PO BOX 2303, DEPT 163, INDIANAPOLIS, IN 46206-2303
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
282080
NY
208D00000X
General Practice Physician
282080
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2011
Last updated
05/10/2017
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