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Dr. Glenn Tisman, MD
Specialist in Whittier, California
NPI 1659373983

Glenn Tisman is a Specialist based in Whittier, CA. Glenn Tisman practices in Whittier, CA and has the professional credentials of MD. The NPI Number for Glenn Tisman is 1659373983 and holds a License No. G19173A (California).

The current practice location address for Glenn Tisman is 13025 Bailey St, Whittier, CA and can be reached out via phone at 562-789-8822 and via fax at 562-698-4582.

Location: 13025 Bailey St, Whittier, CA, 90601-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659373983
Provider Name
Glenn Tisman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13025 Bailey St, Whittier, CA, 90601-4212
Phone Number
562-789-8822
Fax Number
562-698-4582
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13025 Bailey St
City
Whittier
State
California
Zip
90601-4212
Phone Number
562-789-8822
Fax Number
562-698-4582
person
Provider Business Mailing Address Details
Address
13025 Bailey St
City
Whittier
State
California
Zip
90601-4212
Phone Number
562-789-8822
Fax Number
562-698-4582
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G19173A (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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