Individual provider · Type 1 NPI
Theodore E. Glynn, MD
Specialist · Lansing, MI
NPI number
1154475523
Active
Practice location
5303 S Cedar St
Lansing, MI 48911-3800
Mailing address
1215 E Michigan Ave
Lansing, MI 48912-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4301071075 (MI) |
Specialist: 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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- Leslie R. Searls, DOSpecialist Lansing, MI NPI 1215064977
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About NPI 1154475523
Theodore E. Glynn, MD's National Provider Identifier is 1154475523, issued on Jan 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lansing, MI. The record was last updated on Mar 21, 2017.