NPI 1265638969

Glenn Allen Chamulak, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Rochester, MI

Practice location

Address: 1101 W University Dr Department of Pathology, Rochester, MI 48307-1863
Phone: (248) 652-5264
Fax: (248) 652-5065
Mailing address: 4099 Autumn View CT, Fenton, MI 48430-9128

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 4301054047 (MI)

Other Pathology providers in Michigan →

Registry record

NPI: 1265638969
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.