Individual
GLENN JOSEPH MEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD, #305, MAYFIELD HTS, OH 44124-2299
(440) 442-2554
(440) 442-3709
Mailing address
1450 SOM CENTER RD, #25, MAYFIELD HTS, OH 44124-2118
(440) 446-1423
(440) 446-1498
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35046953
OH
207RP1001X
Pulmonary Disease Physician
Primary
35046953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554083
—
OH
Enumeration date
10/12/2005
Last updated
06/30/2011
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