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Individual

DAVID A GLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3666
(734) 671-3185
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3666
(734) 671-3185

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704186855
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3446650
MI
05
3480867
MI
05
4311018
MI
05
4835643
MI
Enumeration date
09/28/2006
Last updated
11/03/2023
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