Organization
STEFAN GLOWACKI M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN GLOWACKI M.D. (PRESIDENT)
(586) 991-0051
Entity
Organization
Contact information
Practice address
42370 VAN DYKE AVE, SUITE 107, STERLING HEIGHTS, MI 48314-3487
(586) 991-0051
(586) 991-0064
Mailing address
42370 VAN DYKE AVE, SUITE 107, STERLING HEIGHTS, MI 48314-3487
(586) 991-0051
(586) 991-0064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
SG040818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142048510
—
MI
01
—
2000E03267
BCBSM
—
01
—
2005071942
BCBSM
MI
Enumeration date
03/16/2010
Last updated
08/07/2013
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