Laurie Glanz in Mount Clemens - Foot & Ankle Surgery

Laurie Glanz - NPI 1316129919

Laurie Glanz is a Foot & Ankle Surgery in Mount Clemens, Michigan. Laurie Glanz practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Laurie Glanz is 1316129919. The last update date is 2012-05-21.

Laurie Glanz's current location address is 35 Church St, Mount Clemens, Michigan. You can contact this provider via phone number 5864631555 and fax number 5864637550. The mailing address for Laurie Glanz is 35 Church St, Mount Clemens, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Laurie Glanz
Address 35 Church St, Mount Clemens, Michigan
Phone Number 5864631555
Fax Number 5864637550
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LAURIE B G
Authorized Official Name Glanz Beth Laurie
Credentials DPM
Telephone Number 5864631555

NPI Number Detail

NPI Number 1316129919
Provider Enumeration Date 2007-12-05
Last Updated Date 2012-05-21

Provider Mailing Address Detail

Address 35 Church St
City Mount Clemens
State Michigan (MI)
Post Code 480432331
Phone Number 5864631555
Fax Number 5864637550

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No LG001020
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1397171 MI --
480002510 MI RAILROAD MEDICARE
LG001020 MI LICENSE NUMBER
4855050200 MA BCBS PIN
P79090 MI BLUE CARE NETWORK
ADR5 MI NEIC SITE ID
145899 MI SELECTCARE PROVIDER

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FAQs about Laurie Glanz

What is the unique 10-digit identification code assigned to Laurie Glanz by the Centers for Medicare & Medicaid Services?

The Laurie Glanz has been issued the NPI (National Provider Identifier) 1316129919, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Laurie Glanz is geographically located?

The Laurie Glanz is physically situated at the following location: 35 Church St, Mount Clemens, MI, 480432331.

What is the Laurie Glanz's area of specialization and corresponding taxonomy classification?

The Laurie Glanz's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date did the Laurie Glanz receive its 1316129919 assignment from the Centers for Medicare & Medicaid Services?

The Laurie Glanz was assigned its 1316129919 by the Centers for Medicare & Medicaid Services on 2007-12-05.

As of what date were the Laurie Glanz's details last updated?

The information pertaining to the Laurie Glanz, including its address, specialty, and other details, was most recently updated on 2012-05-21.

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