Provider Demographics
NPI:1629060215
Name:GLAZER, DENNIS ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ALLEN
Last Name:GLAZER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3030 TUSCARAWAS ST W
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4167
Mailing Address - Country:US
Mailing Address - Phone:330-452-1322
Mailing Address - Fax:330-452-4942
Practice Address - Street 1:3030 TUSCARAWAS ST W
Practice Address - Street 2:SUITE 300
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4167
Practice Address - Country:US
Practice Address - Phone:330-452-1322
Practice Address - Fax:330-452-4942
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH30109207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery