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NPI Code Detail

MEDICARE: NATALIE RACHEL GLADSTEIN M.D.

MEDICARE: NATALIE RACHEL GLADSTEIN M.D.
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
1207V00000XObstetrics & Gynecology Physician125061348IL
2207V00000XObstetrics & Gynecology Physician4301109308MI
3207V00000XObstetrics & Gynecology Physician0101279496VA

General Provider Information

NPI Number : 1114280054
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE RACHEL GLADSTEIN M.D.
Provider Business Mailing Address
First Line : 35000 FORD RD # 3
Second Line :
City : WESTLAND
State : MI
Zip : 48185-3719
Country : US
Telephone Number : 734-721-4700
Fax Number :
Provider Business Practice Location Address
First Line : 35000 FORD RD # 3
Second Line :
City : WESTLAND
State : MI
Zip : 48185-3719
Country : US
Telephone Number : 734-721-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 10/27/2023

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