Provider Demographics
NPI:1154432318
Name:GLEIS, GREGORY ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ERIC
Last Name:GLEIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:531 PRIMROSE WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2958
Mailing Address - Country:US
Mailing Address - Phone:502-891-8861
Mailing Address - Fax:502-891-8821
Practice Address - Street 1:531 PRIMROSE WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2958
Practice Address - Country:US
Practice Address - Phone:502-891-8861
Practice Address - Fax:502-891-8821
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY20273207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery