Organization
BOWLING GREEN STATE UNIVERSITY
Active
Other names
Student Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN EGELMAN MD (DIRECTOR STUDENT HEALTH SERVICE)
(419) 372-1318
Entity
Organization
Contact information
Practice address
RIDGE STREET, BOWLING GREEN, OH 43403-0147
(419) 372-2271
(419) 372-8010
Mailing address
PO BOX 5199, ABILENE, TX 79608-5199
(325) 437-8300
(325) 437-8399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614222
—
OH
Enumeration date
07/07/2006
Last updated
08/22/2020
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