| NPI | 1346511029 |
|---|---|
| Former Legal Business Name | DR. SHELBY GLAZER PC |
| Entity Type | Organization |
| Authorized Contact | SHELBY ROSS GLAZER Owner 248-353-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 111N00000X Chiropractor (Licence: MI 2301007367) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2020-10-15 |