Individual
DR. JOHN F GLENN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C1-0003052
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891702
—
DE
05
—
250387652
—
DE
Enumeration date
02/23/2006
Last updated
02/20/2019
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