GLENN WILLIAM POTTMEYER

FORT WAYNE, IN
NPI1417452475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  02007826A)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  5101026112)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MI  5101026112)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5101026112)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-29
Last Update Date2024-08-02
Business Address
GLENN WILLIAM POTTMEYER DO
2231 CAREW ST
FORT WAYNE, IN 46805-4713
Phone number: 260-266-7856
Mailing Address
GLENN WILLIAM POTTMEYER DO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: