Individual
DR. PHILLIP GLENN MONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
755 SEMINOLE ROAD, SUITE 101, MUSKEGON, MI 49441-0000
(231) 780-3200
(231) 780-3299
Mailing address
755 SEMINOLE ROAD, SUITE 101, MUSKEGON, MI 49441
(231) 780-3200
(231) 780-3299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4789120
—
MI
01
—
D18671
BLUE CROSS
MI
Enumeration date
01/19/2006
Last updated
07/08/2007
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