Individual
MICHAEL GLENN SITLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1577 NOTTINGHAM RD, CHARLESTON, WV 25314-2453
(304) 552-8359
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(304) 552-8359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19963
WV
207R00000X
Internal Medicine Physician
Primary
19963
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805595000
—
WV
Enumeration date
04/03/2006
Last updated
04/27/2017
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