Individual
MR. BRIAN MICHAEL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
450 W. GRAND AVENUE, DAYTON, OH 45405
(865) 291-3612
Mailing address
3855 OAKVIEW DRIVE, BEAVERCREEK, OH 45430
(210) 485-8049
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041-293660
IL
367500000X
Certified Registered Nurse Anesthetist
09905
OH
367500000X
Certified Registered Nurse Anesthetist
101027
NE
367500000X
Certified Registered Nurse Anesthetist
748460
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.09905
OH
Other
Enumeration date
01/23/2007
Last updated
01/29/2024
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