Individual
MR. GLENN OWEN WILDBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MASON LORD DR, BALTIMORE, MD 21224-3063
(410) 550-1711
Mailing address
300 MASON LORD DR, BALTIMORE, MD 21224-3063
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
R206942
MD
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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