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NPI Code Detail

MEDICARE: MICHAEL P GLOTZBECKER M.D.

MEDICARE:   MICHAEL P GLOTZBECKER  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
1207X00000XOrthopaedic Surgery Physician231110MA
2207XP3100XPediatric Orthopaedic Surgery Physician35.136731OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639205214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL P GLOTZBECKER M.D.
Provider Business Mailing Address
First Line : RAINBOW BABIES AND CHILDRENS HOSPITAL
Second Line : 1100 EUCLID AVENUE
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number : 216-844-8370
Fax Number :
Provider Business Practice Location Address
First Line : RAINBOW BABIES AND CHILDRENS HOSPITAL
Second Line : 1100 EUCLID AVE
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number : 216-844-8370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 11/30/2020

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