Mitchell Glass is a student in an organized health care education training program in Grand Rapids, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mitchell Glass NPI is 1558754606. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
640 KINGSBURY ST NW
GRAND RAPIDS, MI
ZIP 49544-913
Phone: (616) 610-7596
The enumeration date for this NPI number is 3/13/2015 and was last updated on 3/13/2015.