Individual
GLENN F OELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
689 TANK FARM RD, SUITE 100, SAN LUIS OBISPO, CA 93401-7077
(805) 781-3937
(805) 781-9013
Mailing address
234 HEATHER CT, SUITE 102, TEMPLETON, CA 93465-8765
(805) 434-5970
(805) 434-5973
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G49598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G495980
—
CA
Enumeration date
08/04/2006
Last updated
01/16/2015
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