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Individual
DR. GLENN A HOORT
Active
Individual
DR. GLENN A HOORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000884
MI
213ES0131X
Foot Surgery Podiatrist
5901000884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115198
—
MI
01
—
480000546
ADMINISTAR
MI
01
—
4857005000
BLUECROSSBLUESHIELDMI
MI
01
—
485705000
BLUE CROSS BLUE SHEILD
MI
Enumeration date
12/11/2006
Last updated
02/25/2015
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