Individual
DR. GLENN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
550 FOREST AVE STE 12, PLYMOUTH, MI 48170-1769
(734) 455-3340
(734) 254-9230
Mailing address
550 FOREST AVE STE 12, PLYMOUTH, MI 48170-1769
(734) 455-3340
(734) 254-9230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003268
MI
Other
Enumeration date
02/08/2007
Last updated
02/25/2014
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