Organization
GLENN S. WHEET, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN SCOTT WHEET M.D. (PRESIDENT)
(574) 259-6937
Entity
Organization
Contact information
Practice address
900 LINCOLN WAY W, MISHAWAKA, IN 46544-1716
(574) 259-6937
(574) 259-6939
Mailing address
900 LINCOLN WAY W, MISHAWAKA, IN 46544-1716
(574) 259-6937
(574) 259-6939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350460
ANTHEM BCBS
IN
Enumeration date
03/27/2007
Last updated
08/22/2020
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