NPI | 1851490486 |
---|---|
Other Name | J. MICHAEL GLENDENING |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 1026) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16739) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-05-19 |