Individual
DR. MICHAEL FRANCIS GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/ESQ.
Contact information
Practice address
1210 APPLEWOOD ACRES, CLARKS SUMMIT, PA 18411
(570) 862-3407
Mailing address
1210 APPLEWOOD ACRES, CLARKS SUMMIT, PA 18411
(570) 862-3407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101235771
VA
174400000X
Specialist
Primary
MD037565E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011566880006
—
PA
Enumeration date
10/04/2006
Last updated
07/08/2007
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