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Individual

DR. GLENN MICHAEL SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3401 N UNIVERSITY AVE, LUBBOCK, TX 79415-1734
(806) 741-3609
(806) 741-3604
Mailing address
701 W 51ST ST, AUSTIN, TX 78751-2312
(512) 438-3086

Taxonomy

Speciality
Code
Description
License number
State
2083C0008X
Clinical Informatics Physician
Primary
J3607
TX
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
058643
GA

Other

Enumeration date
12/21/2006
Last updated
05/23/2022
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