Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN A MANDEVILLE, M.D.
ActiveGLENN A MANDEVILLE, M.D. is a General Surgery healthcare provider located in TERRE HAUTE, Indiana. NPI 1942318795 is currently active in the NPPES registry. Verify at CMS.
General Surgery · TERRE HAUTE, IN
Registration Details
- NPI Number
- 1942318795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.993974145624 yrs)
- Last Updated
- Mar 14, 2013
- License
-
01041222A (IN)
Practice Information
- Address
-
1429 N 6TH STTERRE HAUTE, IN, 478071037Browse IN providers · Browse ZIP 47807
- Phone
- 8122423110
- Fax
- 8122423795
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in TERRE HAUTE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MARK O LYNCH | M.D. | 1548264823 |
| DR. VINCENT PUCCIA | M.D. | 1619979671 |
| DR. KAREN ANN TISINAI | M.D. | 1396749966 |
| DR. CHRISTOPHER A LUEKING | M.D. | 1104820786 |
| CUSTODIO L. LIM | MD | 1063404259 |
| DR. DAVID ANDREW SOUTHWICK | DO | 1619966462 |
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.