Glowacki, Stefan

Glowacki, Stefan is an sole proprietor health care provider with primary practice located at 42370 Van Dyke Ave Suite 107, Sterling Heights MI 48314-3487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Glowacki, Stefan can be contacted via phone (586) 991-0051.

Contact Information

Primary practice address
42370 Van Dyke Ave Suite 107 Sterling Heights MI 48314-3487
Fax: (586) 991-0064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X SG040818 Michigan

Profile Details

NPI number 1093853814
LBN Legal business name Glowacki, Stefan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Aug 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093853814 NPPES
Michigan Other 2005071942 BCBSM
Michigan MEDICAID 1420485 10 BCBSM

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