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 |