NPI 1366261794

Melissa Lynn Glaze

Practitioner Driver Whitmore Lake, MI

Practice location

Address: 320 Emerald CT S, Whitmore Lake, MI 48189-8267
Phone: (734) 408-1781

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence G420599564562 (MI)

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Registry record

NPI: 1366261794
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2024
Record last updated: 3 Oct 2024

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.