Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL JONATHAN GLIENKE, PA-C
ActiveMR. CARL JONATHAN GLIENKE, PA-C is a Physician Assistant healthcare provider located in EDGEWATER, Maryland. NPI 1740471416 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EDGEWATER, MD
Registration Details
- NPI Number
- 1740471416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2007 (19.008063673302 yrs)
- Last Updated
- Jun 3, 2024
- Licenses
-
1095604C0008153 (MD)
Practice Information
- Address
-
3059 SOLOMONS ISLAND RDEDGEWATER, MD, 210371433Browse MD providers · Browse ZIP 21037
- Phone
- 4109563394
- Fax
- 4109563324
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EDGEWATER, MD
| Name | Credential | NPI |
|---|---|---|
| ROSEMARY INGADO | P.A. | 1063637155 |
| MS. NICOLE MARIE MASSON | PA-C | 1063749422 |
| MACKENZIE DOSHI | PA-C | 1588021257 |
| REGINA ELIZABETH FEEKS | PA | 1427788678 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.