GLENN LAURENCE LEVINE

COQUILLE, OR
NPI1801814769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OR  MD162422)
Enumeration Date2006-07-18
Last Update Date2021-12-21
Business Address
Mr. GLENN LAURENCE LEVINE MD
790 E 5TH ST
COQUILLE, OR 97423
Phone number: 541-396-3111
Mailing Address
Mr. GLENN LAURENCE LEVINE MD
790 E 5TH ST
COQUILLE, OR 97423
Phone number: 541-247-3000
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