Organization
CYNTHIA L GLASSON INC
Active
Other names
Waldon Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA L GLASSON D.O. (OWNER)
(248) 391-9090
Entity
Organization
Contact information
Practice address
3003 S BALDWIN RD, ORION, MI 48359-2358
(248) 391-9090
(248) 391-9210
Mailing address
3003 S BALDWIN RD, ORION, MI 48359-2358
(248) 391-9090
(248) 391-9210
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CG011459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000827
HEALTH PLUS OF MICHIGAN
MI
01
—
0F32366
BLUE CROSS BLUE SHIELD
MI
05
—
1982630612
—
MI
05
—
3364670
—
MI
01
—
4294873
AETNA
MI
01
—
F43394
HAP
MI
Enumeration date
06/24/2006
Last updated
01/22/2013
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