Provider Demographics
NPI:1114280054
Name:GLADSTEIN, NATALIE RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RACHEL
Last Name:GLADSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35000 FORD RD # 3
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3719
Mailing Address - Country:US
Mailing Address - Phone:734-721-4700
Mailing Address - Fax:
Practice Address - Street 1:35000 FORD RD # 3
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3719
Practice Address - Country:US
Practice Address - Phone:734-721-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125061348207V00000X
MI4301109308207V00000X
VA0101279496207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology