Glenn Family Medicine, LLC

NPI #1508443805 in Wailuku, Hawaii

Provider Information

NPI Number: 1508443805
Entity Type: Organization
Organization Name: Glenn Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2021
Last Updated: Dec 9, 2022

Practice Location

Address: 85 MAUI LANI PKWY
City: Wailuku
State: Hawaii
ZIP Code: 96793-2416
Phone: (330) 904-9354

Authorized Official

Name: DR. TRAVIS WAGNER GLENN, MD
Title: MEMBER
Phone: (808) 244-5366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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