| Glenn Caine DO | |
|
620 Bell St Waukesha WI 53186-5172 | |
| (414) 313-4652 | |
| Not Available |
| Full Name | Glenn Caine DO |
|---|---|
| Speciality | General Practice |
| Location | 620 Bell St, Waukesha, Wisconsin |
| Authorized Official Name and Position | Glenn Caine (PRESIDENT) |
| Authorized Official Contact | 4143134652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Caine DO 620 Bell St Waukesha WI 53186-5172 | Glenn Caine DO 620 Bell St Waukesha WI 53186-5172 Ph: (414) 313-4652 |
| NPI Number | 1336424670 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336424670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34605 (Wisconsin) | Primary |
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