Provider Demographics
NPI:1750370615
Name:GLASER, MAX J (MD)
Entity type:Individual
Prefix:MR
First Name:MAX
Middle Name:J
Last Name:GLASER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2340 E MEYER BLVD, BLDG 2
Mailing Address - Street 2:SUITE 480
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132
Mailing Address - Country:US
Mailing Address - Phone:816-276-1700
Mailing Address - Fax:816-276-1703
Practice Address - Street 1:2340 E MEYER BLVD, BLDG 2
Practice Address - Street 2:SUITE 480
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
Practice Address - Country:US
Practice Address - Phone:816-276-1700
Practice Address - Fax:816-276-1703
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2021-01-14
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Provider Licenses
StateLicense IDTaxonomies
MOR5N49207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207923616Medicaid
KS100312130AMedicaid
KS100312130AMedicaid
MO207923616Medicaid