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Individual

MICHAEL WYATT GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
719 S KANSAS AVE STE 250, TOPEKA, KS 66603-3807
(785) 234-3451
Mailing address
719 S KANSAS AVE STE 250, TOPEKA, KS 66603-3807
(785) 273-1720

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-44773
KS
2085R0202X
Diagnostic Radiology Physician
A200156
CA

Other

Enumeration date
05/27/2016
Last updated
05/26/2025
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