Individual
WILLIAM GLENN HADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 KOLBE RD, CHP REGIONAL MEDICAL CENTER, LORAIN, OH 44053-1611
(440) 960-3000
Mailing address
2611 BRIAN DR, PARMA, OH 44134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324925
—
OH
01
—
942460636417
CARESOURCE
OH
01
—
P00319996
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
05/31/2006
Last updated
07/08/2007
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