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Individual

DR. MICHAEL GLENN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
(330) 837-5191
(330) 837-0755
Mailing address
3545 LINCOLN WAY E, SUITE A, MASSILLON, OH 44646-8624
(330) 837-5191
(330) 837-0755

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-114780
IL
207W00000X
Ophthalmology Physician
Primary
34.009396
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000577625
ANTHEM
OH
05
2861103
OH
01
P00680882
RR MEDICARE
OH
Enumeration date
04/19/2006
Last updated
06/27/2012
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