Individual
BENJAMIN GLINES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006673A
IN
207P00000X
Emergency Medicine Physician
Primary
34.017663
OH
207P00000X
Emergency Medicine Physician
5101026354
MI
Other
Enumeration date
06/22/2018
Last updated
03/05/2025
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