Individual
DR. GLENN JOHN TRIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 BENEDICT AVE, SUITE B, NORWALK, OH 44857-2712
(419) 668-9409
(419) 668-7099
Mailing address
282 BENEDICT AVE, SUITE B, NORWALK, OH 44857-2712
(419) 668-9409
(419) 668-7099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35043009T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462717
—
OH
Enumeration date
08/10/2005
Last updated
03/09/2011
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