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1881636843
GLENN GALL
LIVONIA, MI
NPI
1881636843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101009691)
Enumeration Date
2006-06-12
Last Update Date
2008-01-16
Business Address
-- GLENN GALL D.O.
36475 FIVE MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-2022
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Mailing Address
-- GLENN GALL D.O.
2028 PADDOCK WAY
YPSILANTI, MI 48198-9618
Phone number:
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