Individual
MR. MICHAEL LEE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3815 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 341-9996
(405) 330-3566
Mailing address
3815 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 341-9996
(405) 330-3566
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11886
OK
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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