| Debra A. Glitz, M.d., P.l.l.c. | |
|
3290 W Big Beaver Rd Suite 509 Troy MI 48084-2903 | |
| (248) 290-2220 | |
| (248) 290-4019 |
| Full Name | Debra A. Glitz, M.d., P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3290 W Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Debra A Glitz (OWNER) |
| Authorized Official Contact | 2482902220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra A. Glitz, M.d., P.l.l.c. 3290 W Big Beaver Rd Suite 509 Troy MI 48084-2903 Ph: (248) 290-2220 | Debra A. Glitz, M.d., P.l.l.c. 3290 W Big Beaver Rd Suite 509 Troy MI 48084-2903 Ph: (248) 290-2220 |
| NPI Number | 1225102775 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022052737 |
|---|---|
| Medicare Enrollment ID | O20050614000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225102775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301407088 (Michigan) | Primary |
| Provider Name | Debra A Glitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326086059 PECOS PAC ID: 1759282221 Enrollment ID: I20050614000783 |
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