Individual
GLEN MCMILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
658 WALNUT ST, SUITE 3, LIVERPOOL, OH 44515
(330) 932-0157
Mailing address
5760 PATRIOT BLVD STE C, AUSTINTOWN, OH 44515-1170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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