# MICHAEL L GLASS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851412878
- **Authorized official:** DR. MICHAEL L GLASS M.D. (PRESIDENT)
- **Authorized official phone:** (405) 341-9996

## Contact information

- **Practice address:** 3815 S BOULEVARD ST, EDMOND, OK 73013-5479
- **Practice address phone:** (405) 341-9996
- **Practice address fax:** (405) 330-3566
- **Mailing address:** 3815 S BOULEVARD ST, EDMOND, OK 73013-5479
- **Mailing address phone:** (405) 341-9996
- **Mailing address fax:** (405) 330-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | 11886 | OK | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 11/26/2007