Individual
DR. MERRILL LEE GLADDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 RIDGEWOOD DR STE A, BOWLING GREEN, OH 43402-2694
(419) 352-1519
(419) 352-7004
Mailing address
1215 RIDGEWOOD DR STE A, BOWLING GREEN, OH 43402-2694
(419) 352-1519
(419) 352-7004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35085092
OH
207XS0106X
Orthopaedic Hand Surgery Physician
35085092
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35085092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350668
ANTHEM
OH
01
—
04665
PARAMOUNT
OH
01
—
2505041
UNITED HEALTHCARE
OH
05
—
2517637
—
OH
01
—
3678364
AETNA HMO
OH
01
—
7073656
AETNA
OH
Enumeration date
09/15/2005
Last updated
04/25/2019
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