Individual
DR. MICHAEL J GLANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022578
—
WA
05
—
1023377
—
AK
05
—
1932216272
—
ID
05
—
1932216272
—
MT
05
—
299052
—
OR
01
—
410047089
RAILROAD MEDICARE
WA
01
—
410047090
RAILROAD MEDICARE
WA
01
—
410047091
RAILROAD MEDICARE
WA
01
—
410047407
RAILROAD MEDICARE
MT
Enumeration date
08/24/2006
Last updated
11/12/2020
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