Individual
GLEN B VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 W HIGH ST, SUITE 290, LIMA, OH 45801-3990
(800) 527-3872
(419) 222-0384
Mailing address
PO BOX 76629, CLEVELAND, OH 44101-6500
(800) 527-3872
(419) 222-0384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35040106
OH
Other
Enumeration date
12/28/2005
Last updated
10/16/2007
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