Individual
DR. MICHAEL J GLANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2205 NE 129TH ST, VANCOUVER, WA 98686-3252
(360) 694-2544
(360) 694-1356
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
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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