Glenn M Wulf is a Physician Assistant in Bend, Oregon. Glenn M Wulf practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glenn M Wulf is 1144226754. The last update date is 2022-05-12.
Glenn M Wulf's current location address is 2200 Ne Neff Rd Ste 200, Bend, Oregon. You can contact this provider via phone number 5413823344 and fax number 5413821681. The mailing address for Glenn M Wulf is 2200 Ne Neff Rd Ste 200, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn M Wulf |
|---|---|
| Address | 2200 Ne Neff Rd Ste 200, Bend, Oregon |
| Phone Number | 5413823344 |
| Fax Number | 5413821681 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1144226754 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2022-05-12 |
Provider Mailing Address Detail
| Address | 2200 Ne Neff Rd Ste 200 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014281 |
| Phone Number | 5413823344 |
| Fax Number | 5413821681 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00975 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Glenn M Wulf by the Centers for Medicare & Medicaid Services?
The Glenn M Wulf has been issued the NPI (National Provider Identifier) 1144226754. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glenn M Wulf?
The Glenn M Wulf is physically situated at 2200 Ne Neff Rd Ste 200, in the city of Bend, state of OR, with the postal code 977014281.
What is the Glenn M Wulf's specialty and taxonomy code?
The Glenn M Wulf's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Glenn M Wulf receive the assignment of its 1144226754 from the Centers for Medicare & Medicaid Services?
The Glenn M Wulf was issued its 1144226754 by the Centers for Medicare & Medicaid Services on 2005-06-28.
As of what date was the information pertaining to Glenn M Wulf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glenn M Wulf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-05-12.