# MR. GLEN WHEELER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295898641
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 79939 | MA | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 07/08/2007

## 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 | — |