Individual
DR. WYLIE G. MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 FOREST RIDGE PKWY, SUITE 310, NEW CASTLE, IN 47362-2943
(765) 599-3400
(765) 599-3500
Mailing address
PO BOX 652, SUITE 310, NEW CASTLE, IN 47362-0652
(765) 599-3400
(765) 599-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026722
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01026722
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056310
—
IN
05
—
2000563106
—
IN
Enumeration date
10/20/2006
Last updated
05/25/2011
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