Individual
ALEXANDRIA CONLEY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
(586) 343-8717
Mailing address
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301097301
MI
208C00000X
Colon & Rectal Surgery Physician
4301097301
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2009
Last updated
03/12/2023
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