Individual
DR. GLEN DOUGLAS MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9975 W OTTAWA AVE, EMPIRE, MI 49630-9618
(231) 835-2088
(231) 835-2534
Mailing address
9975 W OTTAWA AVE, EMPIRE, MI 49630-9618
(231) 835-2088
(231) 835-2534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301106834
MI
2083A0100X
Aerospace Medicine Physician
01056456A
IN
2083A0100X
Aerospace Medicine Physician
Primary
4301106834
MI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
M9470
TX
2083P0901X
Public Health & General Preventive Medicine Physician
4301106834
MI
2083P0901X
Public Health & General Preventive Medicine Physician
M9470
TX
Other
Enumeration date
03/02/2006
Last updated
08/16/2025
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