Provider Demographics
NPI:1154371482
Name:GLAUN, BRAEME SEYMOUR (MD)
Entity type:Individual
Prefix:DR
First Name:BRAEME
Middle Name:SEYMOUR
Last Name:GLAUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:MICHEL MIROWSKI, MD, OFF. BLDG
Practice Address - Street 2:5051 GREENSPRING AVENUE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209
Practice Address - Country:US
Practice Address - Phone:410-601-9515
Practice Address - Fax:410-601-8905
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD591712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC31152OtherR/R MEDICARE GROUP #
MDP00125518OtherR/R MEDICARE PROVIDER #
MDS576H714Medicare PIN
MDP00125518OtherR/R MEDICARE PROVIDER #