Individual
DR. KIM JEFFREY GLOYSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 FREMONT ST STE 203, BATTLE CREEK, MI 49017-3398
(269) 969-6123
(269) 969-6122
Mailing address
363 FREMONT ST STE 203, BATTLE CREEK, MI 49017-3398
(269) 969-6123
(269) 969-6122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C960650
BCBSM
MI
05
—
10/3236278
—
MI
01
—
1417961137
BCBSM - BRONSON VICKSBURG OUTPATIENT CENTER
MI
05
—
1972539328
—
MI
Enumeration date
06/25/2006
Last updated
01/09/2020
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