Individual
DR. LOUIS C GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-2459
(616) 285-1200
(616) 940-0864
Mailing address
2505 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-2459
(616) 285-1200
(616) 940-0864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301057485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3234685
—
MI
Enumeration date
06/07/2006
Last updated
12/07/2012
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