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Individual

MICHAEL D GLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9550 ZIONSVILLE RD, SUITE #200, INDIANAPOLIS, IN 46268-1065
(317) 872-0116
(317) 874-1440
Mailing address
9550 ZIONSVILLE RD, SUITE #200, INDIANAPOLIS, IN 46268-1065
(317) 872-0116
(317) 874-1440

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
NA
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01026522
IN
208D00000X
General Practice Physician
01026522
IN
208D00000X
General Practice Physician
036099561
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100237180
IN
01
1100097
UHC MEDICARE COMPLETE
01
110884
INDIANA COMPREHENSIVE
IN
01
1194840595
ANTHEM-IN
IN
01
1992815377
BCBS-MO
MO
05
2060835
OH
01
238490
HARMONY HEALTH
IL
01
5601593
AETNA HMO
01
5811655
AETNA PPO
05
7100037900
KY
01
B29555
MERCY HEALTH PLAN HMO
Enumeration date
08/30/2006
Last updated
06/26/2009
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