Individual
DR. GLENN J MINSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2070 BIDDLE AVE, STE 200, WYANDOTTE, MI 48192-4080
(734) 225-9100
(734) 225-9176
Mailing address
2070 BIDDLE AVE, STE 200, WYANDOTTE, MI 48192-4080
(586) 773-1300
(586) 773-1600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301056116
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301056116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103279963
—
MI
Enumeration date
01/30/2006
Last updated
03/02/2020
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