Individual
GLENN ENGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1911 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4197
(805) 543-5353
Mailing address
PO BOX 1185, SAN LUIS OBISPO, CA 93406-1185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A18711
CA
208600000X
Surgery Physician
Primary
97828
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL 0006339
CO
Other
Enumeration date
06/17/2016
Last updated
01/21/2026
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