GLENN A KOTNIK

LAFAYETTE, IN
NPI1578671921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01039473A)
Additional Taxonomies207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: IN  01039473A)
Enumeration Date2006-08-27
Last Update Date2009-09-04
Business Address
-- GLENN A KOTNIK MD
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
Mailing Address
-- GLENN A KOTNIK MD
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000