Glenn Gall, D.O.
Anesthesiology in Livonia, MI. Individual provider (NPI-1).
NPI number1881636843
StatusActive
Last updated in NPPESJan 16, 2008
Details
- NPI
- 1881636843
- Entity type
- Individual (NPI-1)
- Name
- Glenn Gall
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Jan 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 5101009691 | MI | Yes |
Practice location
36475 Five Mile RdLivonia, MI 48154-1971
Phone 734-655-2022
Mailing address
2028 Paddock WayYpsilanti, MI 48198-9618
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