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Individual
MR. GLEN WHEELER
Active
Individual
MR. GLEN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
79939
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026441
BMC HEALTHNET PLAN
—
01
—
0090151
HEALTHY START PROGRAM MA
—
05
—
0116149
—
MA
01
—
079939
TUFTS HEALTH PLAN
—
01
—
137062
HARVARD PILGRIM
—
01
—
22245
BCBS
RI
01
—
2291716
AETNA USHC HMO GROUP
—
01
—
2316139
AETNA USHC HMO
—
01
—
407279
BLUE CHIP COORD PARTNERS
—
01
—
412871
PHCS
—
01
—
7190101
AETNA USHC NON HMO
—
01
—
9157891
CIGNA HEALTH CARE
—
01
—
J18446
BCBS
MA
01
—
M17398
BCBS GROUP
MA
01
—
MA0013265
TRICARE CHAMPUS
—
Enumeration date
12/18/2006
Last updated
07/08/2007
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