Susan M Glad, Od, PC

NPI #1770893638 in Mcminnville, Oregon

Provider Information

NPI Number: 1770893638
Entity Type: Organization
Organization Name: Susan M Glad, Od, PC
Primary Specialty: Optometrist
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 2375 N HIGHWAY 99W
City: Mcminnville
State: Oregon
ZIP Code: 97128-9201
Phone: (503) 434-1140

Authorized Official

Name: DR. SUSAN MARIE GLAD, O.D.
Title: PRESIDENT
Phone: (503) 434-1140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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