MEDICARE: DEBRA A. GLITZ, M.D., P.L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301407088	MI

General Provider Information

NPI Number	:	1225102775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBRA A. GLITZ, M.D., P.L.L.C.

Provider Business Mailing Address
First Line	:	3290 W BIG BEAVER RD
Second Line	:	SUITE 509
City	:	TROY
State	:	MI
Zip	:	48084-2903
Country	:	US
Telephone Number	:	248-290-2220
Fax Number	:	248-290-4019

Provider Business Practice Location Address
First Line	:	3290 W BIG BEAVER RD
Second Line	:	SUITE 509
City	:	TROY
State	:	MI
Zip	:	48084-2903
Country	:	US
Telephone Number	:	248-290-2220
Fax Number	:	248-290-4019

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEBRA A GLITZ
Credential	:	M.D.
Telephone Number	:	248-290-2220

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2020

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