institution
Laurie Glanz
Prosthetic/Orthotic Supplier in Mount Clemens, Michigan
NPI 1316129919

Laurie Glanz is a Prosthetic/Orthotic Supplier based in Mount Clemens, MI. Laurie Glanz practices in Mount Clemens, MI. The NPI Number for Laurie Glanz is 1316129919 and holds a License No. LG001020 (Michigan).

The current practice location address for Laurie Glanz is 35 Church St, Mount Clemens, MI and can be reached out via phone at 586-463-1555 and via fax at 586-463-7550.

Location: 35 Church St, Mount Clemens, MI, 48043-2331
institution
Provider Profile Details
NPI Number
1316129919
Provider Name
Laurie Glanz
Credential
Provider Entity Type
Organization
Address
35 Church St, Mount Clemens, MI, 48043-2331
Phone Number
586-463-1555
Fax Number
586-463-7550
Provider Enumeration Date
12/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1397171 05 MI
480002510 01 MI RAILROAD MEDICARE
LG001020 01 MI LICENSE NUMBER
4855050200 01 MA BCBS PIN
P79090 01 MI BLUE CARE NETWORK
ADR5 01 MI NEIC SITE ID
145899 01 MI SELECTCARE PROVIDER
institution
Provider Business Practice Location Address Details
Address
35 Church St
City
State
Zip
48043-2331
Phone Number
586-463-1555
Fax Number
586-463-7550
person
Provider Business Mailing Address Details
Address
35 Church St
City
State
Zip
48043-2331
Phone Number
586-463-1555
Fax Number
586-463-7550
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
LG001020 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
LG001020 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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