Individual
FREDERICK CRAIG GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01599
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267914
—
IA
01
—
37971
WELLMARK BCBS
IA
Enumeration date
01/19/2006
Last updated
12/03/2007
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