SearchMichigan390200000X

Mitchell Glass

NPI 1558754606 · on the registry since 2015 · sole proprietor

Practice

Address
640 Kingsbury St Nw
Grand Rapids, MI 49544
Phone
(616) 610-7596

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Male
Record last updated
2015-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan