Individual
DR. MICHAEL W. GLEYSTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 CENTRAL AVE N STE 113, WAYZATA, MN 55391-1231
(952) 473-7037
(952) 404-1664
Mailing address
250 CENTRAL AVE N STE 113, WAYZATA, MN 55391-1231
(952) 473-7037
(952) 404-1664
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8118
MN
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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