Individual provider · Type 1 NPI

Jerry Glowniak, MD

Specialist · Southfield, MI

NPI number 1104852367 Active

Practice location

24500 Northwestern Hwy
Southfield, MI 48075-2414

Call (248) 353-1280 Map

Fax (248) 353-6193

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301038010 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104852367

Jerry Glowniak, MD's National Provider Identifier is 1104852367, issued on Jun 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southfield, MI. The record was last updated on Jul 8, 2007.