Individual
MR. GLENN PATRICK O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DEPARTMENT OF ANESTHESIOLOGY, DETROIT, MI 48202-2608
(313) 916-7648
Mailing address
622 N RENAUD, GROSSE POINTE WOODS, MI 48236-1722
(313) 415-0880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704171310
MI
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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