Individual
GLENN ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
9811 W CHARLESTON BLVD STE 2-2641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
740 LAKE AVE, HANCOCK, MI 49930-1914
(906) 281-0273
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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