Michael W. Gleysteen, Dds, PA

NPI #1902812126 in Wayzata, Minnesota

Provider Information

NPI Number: 1902812126
Entity Type: Organization
Organization Name: Michael W. Gleysteen, Dds, PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 31, 2006
Last Updated: Sep 16, 2008

Practice Location

Address: 250 CENTRAL AVE N # 113
City: Wayzata
State: Minnesota
ZIP Code: 55391-1206
Phone: (952) 473-7037

Authorized Official

Name: DR. MICHAEL W. GLEYSTEEN, DDS
Title: ORTHODONTIST
Phone: (952) 473-7037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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