Individual
GLENN MATTHEW CRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED BARBER
Contact information
Practice address
2108 S 38TH ST, LINCOLN, NE 68506-6021
(402) 440-7475
Mailing address
2108 S 38TH ST, LINCOLN, NE 68506-6021
(402) 440-7475
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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