Individual
MR. MICHAEL ANTHONY GLASTETTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
Mailing address
579 COUNTY HIGHWAY 241, BENTON, MO 63736-8166
(573) 579-3574
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2022033691
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2022
Last updated
08/25/2022
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