Individual
RICHARD GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(173) 452-5971
Mailing address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(173) 452-5971
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
02/03/2026
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