Individual
DR. MARSHALL R GLECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
(405) 275-6837
Mailing address
100 E 45TH ST, SHAWNEE, OK 74804-1439
(405) 275-7676
(405) 275-6837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
866
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761410A
—
OK
Enumeration date
04/21/2006
Last updated
12/02/2014
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