| James J Glazier Md Pc | |
|
4160 John R Suite 525 Detroit MI 48201 | |
| (313) 831-1100 | |
| (313) 831-1177 |
| Full Name | James J Glazier Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4160 John R, Detroit, Michigan |
| Authorized Official Name and Position | James J Glazier (SOLE BUSINESS OWNER) |
| Authorized Official Contact | 3138311988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Glazier Md Pc 4160 John R Suite 525 Detroit MI 48201 Ph: (313) 831-1100 | James J Glazier Md Pc 4160 John R Suite 525 Detroit MI 48201 Ph: (313) 831-1100 |
| NPI Number | 1659448751 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 7416999743 |
|---|---|
| Medicare Enrollment ID | O20050526000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659448751 | NPI | - | NPPES |
| 4180391 | Medicaid | MI |
| Provider Name | James Joseph Glazier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346280260 PECOS PAC ID: 6709828932 Enrollment ID: I20080414000128 |
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