Individual
DR. GLENN CHARLES HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Mailing address
53 MONTERAY RD, DAYTON, OH 45419-2566
(937) 395-8839
(937) 395-8387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35 043809
OH
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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