Individual
DR. WARD MYLO GLASOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, PT, ATC
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 624-9894
(612) 625-4274
Mailing address
420 DELAWARE ST SE, MAYO MAIL CODE 388, MINNEAPOLIS, MN 55455
(612) 624-9894
(612) 625-4274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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