Individual
DR. GLEN A LINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
109 E MAPLE ST, MASON, MI 48854
(517) 676-4499
(517) 676-3221
Mailing address
109 E MAPLE ST, MASON, MI 48854
(517) 676-4499
(517) 676-3221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C36542
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
945050168
—
MI
Enumeration date
10/18/2006
Last updated
07/23/2012
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