Individual
MICHAEL EUGENE GLASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 E COLUMBIA AVE, STE 101, BATTLE CREEK, MI 49015-3788
(269) 963-9670
(269) 963-9672
Mailing address
131 E COLUMBIA AVE, STE 101, BATTLE CREEK, MI 49015-3788
(269) 963-9670
(269) 963-9672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4709263
—
MI
Enumeration date
04/25/2006
Last updated
07/08/2007
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