Individual
JAMES MICHAEL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(850) 420-6566
Mailing address
2338 COUNTY HIGHWAY 280 E, DEFUNIAK SPRINGS, FL 32435-5623
(850) 420-6566
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME63572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18895
BCBS
FL
01
—
3525756
CIGNA
FL
01
—
5681078
AETNA
FL
Enumeration date
06/08/2005
Last updated
03/06/2024
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