Individual
DR. GLENN D BLANKENHORN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3300 BAILEY ST NW, STE 104, MASSILLON, OH 44646-3613
(330) 837-3823
(330) 837-8313
Mailing address
3300 BAILEY ST NW, STE 104, MASSILLON, OH 44646-3613
(330) 837-3823
(330) 837-8313
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34003712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586852
—
OH
Enumeration date
06/09/2005
Last updated
12/17/2007
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