Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 036121153 | IL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME 100716 | FL |
NPI | 1154454007 |
---|---|
Provider Name | Dr. Michael A Gleiber |
First Address | West Palm Beach, FL 33401 |
Second Address | West Palm Beach, FL 33401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 28/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000529416 | ANTHEM / SPINE INSTITUTE (01) | KY |
000000530346 | ANTHEM / UNIV ORTHO ASSOC (01) | KY |
200870510A | (05) | IN |
229895 | STATE LICENSE (01) | NY |