Individual
GLENN LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2409 CHERRY ST, #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Mailing address
4342 TAMWORTH RD, SYLVANIA, OH 43560-3813
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
199055
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00404-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775577
—
OH
Enumeration date
05/18/2006
Last updated
04/30/2015
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