Glennan Medical Group Pc

LBN: Glennan Medical Group Pc
Glennan Medical Group Pc is an health care organization with primary practice located at 72 S Washington St Suite 204, Oxford MI 48371-6421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Glennan Medical Group Pc can be contacted via phone (248) 628-2233, or through Wissman, Sheryl via phone (248) 628-2233.

Contact Information

Primary practice address
72 S Washington St Suite 204 Oxford MI 48371-6421
Phone: (248) 628-2233
Fax: (248) 628-2384
Website:
Map and Directions
Authorized official contact:
Name: Wissman, Sheryl Doctor of Medicine (MD)
Phone: (248) 628-2233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051927 Michigan

Profile Details

NPI number 1285632364
LBN Legal business name Glennan Medical Group Pc
DBA Doing business as
Authorized official Wissman, Sheryl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285632364 NPPES
Michigan Other 125218 PREFERRED CHOICES
Michigan Other 7023567 PREFERRED CHOICES
Michigan Other CF9338 PREFERRED CHOICES
Michigan Other I17832 PREFERRED CHOICES
Michigan Other 110F302700 PREFERRED CHOICES
Michigan Other 4266551 PREFERRED CHOICES
Michigan Other E49479 PREFERRED CHOICES
Michigan Other 1011749 PREFERRED CHOICES
Michigan MEDICAID 4603282 PREFERRED CHOICES
Michigan MEDICAID 4406452 PREFERRED CHOICES

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