Individual
CARLY E GLARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792-0001
(608) 263-0572
(608) 263-9830
Mailing address
600 HIGHLAND AVE, H4/831, MADISON, WI 53792-0001
(608) 263-0572
(608) 263-9830
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01090762B
IN
207L00000X
Anesthesiology Physician
Primary
55952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01090762B
CSR-PHYSICIAN
IN
01
—
55952
WISCONSIN FULL LICENSE
WI
Enumeration date
07/20/2009
Last updated
06/07/2024
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