Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
GLEN R WILENSKY
Active
Individual
GLEN R WILENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
VA 0103000938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01021914
—
VA
01
—
172333
ANTHEM
VA
Enumeration date
06/28/2005
Last updated
08/19/2010
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