Individual
DR. PAUL ROBERT GLOWIENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 COMMONS BLVD, SUITE 210, BEAVERCREEK, OH 45431-3809
(937) 429-0607
(937) 558-3067
Mailing address
2510 COMMONS BLVD, SUITE 210, BEAVERCREEK, OH 45431-3809
(937) 429-0607
(937) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35081218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000258024
ANTHEM
OH
05
—
2376727
—
OH
01
—
311816166
TRICARE
OH
01
—
311816166027
CARESOURCE
OH
01
—
7150402
AETNA
OH
01
—
P00116116
RR MEDICARE
OH
Enumeration date
07/08/2005
Last updated
02/14/2014
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