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Individual

DR. MARY JOSEPHINE MCGLEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2117
(517) 364-3994
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2117
(517) 364-3994

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301053850
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2589747
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
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