Individual
GLENN GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
2028 PADDOCK WAY, YPSILANTI, MI 48198-9618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101009691
MI
Other
Enumeration date
06/12/2006
Last updated
01/16/2008
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