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1679947949
GLENN MICHELSON
BERKELEY, CA
NPI
1679947949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA G85101)
Enumeration Date
2015-11-23
Last Update Date
2016-08-24
Business Address
Dr. GLENN MICHELSON M.D.
91 BOLIVAR DR
BERKELEY, CA 94710-2210
Phone number: 510-647-4252
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Mailing Address
Dr. GLENN MICHELSON M.D.
91 BOLIVAR DR
BERKELEY, CA 94710-2210
Phone number: 510-647-4252
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