Individual
DR. GLENN D WERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036120030
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35-091195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# 1633878
BCBS
IL
01
—
204881619995
CARESOURCE
OH
05
—
2923671
—
OH
01
—
522563
WELLCARE
OH
Enumeration date
05/11/2007
Last updated
12/27/2021
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