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Glenn George Betrus, M.D.

Urology in Port Huron, MI. Individual provider (NPI-1).

NPI number1376563130
StatusActive
Last updated in NPPESJul 8, 2008

Details

NPI
1376563130
Entity type
Individual (NPI-1)
Name
Glenn George Betrus
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2006
Last updated
Jul 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology4301052886MIYes

Practice location

1037 Water St
Suite 1
Port Huron, MI 48060-4408

Phone 810-984-4194 · Fax 810-984-4674

Mailing address

1037 Water St
Suite 1
Port Huron, MI 48060-4408

Phone 810-984-4194 · Fax 810-984-4674

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