Individual
DR. GLENN L WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6901 INTERNATIONAL CENTER BLVD, FT MYERS, FL 33912-7125
(239) 939-4323
(239) 939-3983
Mailing address
PO BOX 60559, FT MYERS, FL 33906-6559
(239) 939-4323
(239) 939-3983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0039419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043884700
—
FL
01
—
180022163
RAILROAD MEDICARE
FL
05
—
374440000
—
FL
01
—
CA7010
RAILROAD MEDICARE GROUP
FL
Enumeration date
03/20/2006
Last updated
12/02/2008
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