Individual
GLEN HOWARD HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
(269) 983-2758
Mailing address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
(269) 983-2758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301 406148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4170368 10
—
MI
Enumeration date
04/26/2006
Last updated
04/15/2014
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