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NPI Code Detail

MEDICARE: DR. WOLFRAM GLASER MD

MEDICARE:  DR. WOLFRAM  GLASER  MD
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
12084P0800XPsychiatry Physician00006203AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115-31279OTHERALUNITED BEHAVIORAL HEALTH
215-22790OTHERALUNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1336224963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WOLFRAM GLASER MD
Provider Business Mailing Address
First Line : 3636 LESLIE ANN RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4600
Country : US
Telephone Number : 205-979-0904
Fax Number :
Provider Business Practice Location Address
First Line : 1701 AVENUE D
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35218-1532
Country : US
Telephone Number : 205-788-7770
Fax Number : 205-788-7552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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