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Dr. Theodore E Glynn, MD
Specialist in Lansing, Michigan
NPI 1154475523

Theodore E Glynn is a Specialist based in Lansing, MI. Theodore E Glynn practices in Lansing, MI and has the professional credentials of MD. The NPI Number for Theodore E Glynn is 1154475523 and holds a License No. 4301071075 (Michigan).

The current practice location address for Theodore E Glynn is 5303 S Cedar St, Lansing, MI and can be reached out via phone at 517-887-4311.

Location: 5303 S Cedar St, Lansing, MI, 48912-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154475523
Provider Name
Theodore E Glynn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5303 S Cedar St, Lansing, MI, 48912-1811
Phone Number
517-887-4311
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382168683 01 MI TAX ID
4548289 05 MI
institution
Provider Business Practice Location Address Details
Address
5303 S Cedar St
City
Lansing
State
Michigan
Zip
48911-3800
Phone Number
517-887-4311
Fax Number
person
Provider Business Mailing Address Details
Address
5303 S Cedar St
City
Lansing
State
Michigan
Zip
48911-3800
Phone Number
517-887-4311
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301071075 (Michigan)
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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