# MR. GLEN R. WYANT

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

## Provider details

- **NPI number:** 1821139510
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | C5056 | KY | — |
| 207L00000X | Anesthesiology Physician | H8898 | TX | — |
| 207L00000X | Anesthesiology Physician | MD-56266 | IA | — |
| 207L00000X | Anesthesiology Physician | MD490869C | PA | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | 27000 | OK | — |
| 207LP3000X | Pediatric Anesthesiology Physician | C5056 | KY | — |
| 207LP3000X | Pediatric Anesthesiology Physician | H8898 | TX | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 02/10/2026