Provider Demographics
NPI:1437699626
Name:GLOYESKE, ADAM (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:GLOYESKE
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:
Other - Last Name:GLOYESKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:5958 FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1506
Mailing Address - Country:US
Mailing Address - Phone:513-401-0468
Mailing Address - Fax:513-373-4599
Practice Address - Street 1:5958 FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1506
Practice Address - Country:US
Practice Address - Phone:513-401-0468
Practice Address - Fax:513-373-4599
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000325171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist