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Individual
DR. GLEN NELSON WHEELER
Active
Individual
DR. GLEN NELSON WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD012793E
PA
208000000X
Pediatrics Physician
MD012793E
PA
Other
Enumeration date
06/27/2005
Last updated
05/23/2024
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