Individual
MR. CARL JONATHAN GLIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3059 SOLOMONS ISLAND RD, EDGEWATER, MD 21037-1433
(410) 956-3394
(410) 956-3324
Mailing address
3059 SOLOMONS ISLAND RD, EDGEWATER, MD 21037-1433
(410) 956-3394
(410) 956-3324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1095604
—
363A00000X
Physician Assistant
Primary
C0008153
MD
Other
Enumeration date
08/07/2007
Last updated
06/03/2024
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