DR. Glenn Michael Koteen, M.D.

NPI #1366458028 in Bend, Oregon

Provider Information

NPI Number: 1366458028
Entity Type: Individual
Name: DR. Glenn Michael Koteen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 1, 2006
Last Updated: Nov 17, 2008

Practice Location

Address: 2450 NE MARY ROSE PL STE 210
City: Bend
State: Oregon
ZIP Code: 97701-7133
Phone: (541) 728-0535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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