Provider Demographics
NPI:1043625585
Name:GLANZ, ALAN (CMT)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:GLANZ
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4323
Mailing Address - Country:US
Mailing Address - Phone:517-203-1113
Mailing Address - Fax:808-748-3003
Practice Address - Street 1:201 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4323
Practice Address - Country:US
Practice Address - Phone:517-203-1113
Practice Address - Fax:808-748-3003
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist