Glen D Libby, MD
Pediatrics, Pediatric Critical Care Medicine in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1144200742
StatusActive
Last updated in NPPESOct 16, 2014
Details
- NPI
- 1144200742
- Entity type
- Individual (NPI-1)
- Name
- Glen D Libby
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2006
- Last updated
- Oct 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 4301050097 | MI | Yes |
Practice location
601 John StSte 352
Kalamazoo, MI 49007-5341
Phone 269-341-8986 · Fax 269-341-6236
Mailing address
601 John StSuite 352
Kalamazoo, MI 49007-5341
Phone 269-341-8986 · Fax 269-341-6236
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