Individual
DR. GLENN FREDRICK WONING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARM D
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
053841
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024372
KAISER COMMERCIAL NUMBER
CO
05
—
04934270
—
CO
Enumeration date
04/05/2011
Last updated
06/07/2021
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