MEDICARE: GLEN D SINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	04-19878	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770587685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLEN D SINGER M.D.

Provider Business Mailing Address
First Line	:	3011 N MICHIGAN ST
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-2546
Country	:	US
Telephone Number	:	620-231-9873
Fax Number	:	620-231-2808

Provider Business Practice Location Address
First Line	:	2051 N STATE ST
Second Line	:
City	:	IOLA
State	:	KS
Zip	:	66749
Country	:	US
Telephone Number	:	620-380-6600
Fax Number	:	620-380-6215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	08/13/2018

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Directions to “ GLEN D SINGER M.D.” Practice Location

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