Individual
GLEN NEIL ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE RD, ROOM A217, EAST LANSING, MI 48824-1376
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD RM A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301046992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912060633
—
MI
05
—
3216856
—
MI
Enumeration date
12/18/2006
Last updated
02/10/2026
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