Individual
GLENN GROSSHANTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-3637
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP026728
PA
Other
Enumeration date
12/09/2022
Last updated
12/30/2022
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