Individual
GLENN E WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5820
(419) 479-5821
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 479-5820
(440) 988-1225
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35064514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906792
—
OH
Enumeration date
02/22/2006
Last updated
05/25/2011
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