Individual
MATTHEW M GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2611 S 70TH ST, LINCOLN, NE 68506-2960
(402) 423-4200
(402) 423-4201
Mailing address
2611 S 70TH ST, LINCOLN, NE 68506-2960
(402) 423-4200
(402) 423-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20176
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01547
BCBS
NE
01
—
45426
BCBS NE - PRIMUS
NE
01
—
NA3283001
MEDICARE PTAN
NE
Enumeration date
05/16/2006
Last updated
06/07/2022
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