Individual
DR. OMAR GLADWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 DEWEY AVE, MILWAUKEE, WI 53213-2504
(414) 454-6600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65113
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059833
—
WI
05
—
1417213190
—
WI
Enumeration date
04/06/2012
Last updated
07/29/2025
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