Individual
GLENN EVAN KERSHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 791-4020
(989) 921-8765
Mailing address
1117 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 791-4020
(989) 921-8765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
GK075761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0987964
HEALTHPLUS
MI
01
—
340020605
RAILROAD MEDICARE
MI
01
—
340G310500
BLUE CROSS
MI
05
—
4433790
—
MI
01
—
7792123
AETNA
MI
01
—
H11966
TRI CARE
MI
Enumeration date
08/24/2005
Last updated
03/30/2021
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