# DR. PAUL ROBERT GLOWIENKA

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

## Provider details

- **NPI number:** 1497753925
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35081218 | OH | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 02/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000258024 | ANTHEM | OH |
| 05 | — | 2376727 | — | OH |
| 01 | — | 311816166 | TRICARE | OH |
| 01 | — | 311816166027 | CARESOURCE | OH |
| 01 | — | 7150402 | AETNA | OH |
| 01 | — | P00116116 | RR MEDICARE | OH |