Individual
GLENN L GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 W JEFFERSON BLVD, SUITE 302, FORT WAYNE, IN 46804-4128
(260) 435-1800
(260) 435-1900
Mailing address
7900 W JEFFERSON BLVD, SUITE 302, FORT WAYNE, IN 46804-4128
(260) 435-1900
(260) 435-1800
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01039960
IN
Other
Enumeration date
10/05/2006
Last updated
08/14/2024
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