Gle Glenwood LLC

NPI #1821709957 in Glenwood, Iowa

Provider Information

NPI Number
1821709957
Entity Type
Organization
Organization Name
Gle Glenwood LLC
Primary Specialty
Optometrist
Enumeration Date
Dec 9, 2022
Last Updated
Dec 9, 2022

Practice Location

Address
406 1ST ST
State
Iowa
ZIP Code
51534-1706
Phone
(712) 527-4468

Authorized Official

Name
SHAWN DERENE MIHULKA
Title
OFFICE MANAGER
Phone
(712) 520-2759

Specialties & Taxonomy Codes

Specialty
Optometrist

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