Individual
DR. GLENN L WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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