Individual
GLENDA M UPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA-C
Contact information
Practice address
600 W MAIN ST, TROY, OH 45373-3384
(937) 395-6665
(937) 395-6668
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001269
OH
363AS0400X
Surgical Physician Assistant
50001269
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085241
—
OH
Enumeration date
03/23/2006
Last updated
03/16/2026
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