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Individual

DR. GLEN DAVID SOLOMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1222 S PATTERSON BLVD, SUITE 230, DAYTON, OH 45402-2684
(937) 223-5350
(937) 224-3112
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036066707
IL
2084N0400X
Neurology Physician
Primary
86292
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0708569
OH
Enumeration date
07/21/2005
Last updated
09/10/2025
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