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NPI Profile for GLORY HEALTH LLC in SOUTHFIELD, MI.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Neurology |
2084N0400X | 13 | Physician/Neurology | |
Neurology with Special Qualifications in Child Neurology |
2084N0402X | 13 | Physician/Neurology | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI # | 1215439674 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/01/2018 | |
| Last updated | 03/06/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GLORY HEALTH, LLC
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GLORY HEALTH, LLC