Organization · Type 2 NPI
Glory Health, LLC
General Practice Physician · Southfield, MI
NPI number
1215439674
Active
Practice location
23077 Greenfield Rd Ste 222
Southfield, MI 48075-3745
Fax (888) 283-9115
Mailing address
39694 Rockcrest Ln
Northville, MI 48168-3965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | None listed |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Podiatrist | 213E00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1215439674
Glory Health, LLC's National Provider Identifier is 1215439674, issued on Mar 1, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Southfield, MI. The record was last updated on Mar 6, 2018.