Whalio Doctors

NPI 1043749872

Bradley Holman Glenn, MD

Practitioner Family Medicine Physician Wailuku, HI

Practice location

Address
85 Maui Lani Pkwy, Wailuku, HI 96793-2416
Phone
(808) 244-5366

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD-21314 (HI)

Registry record

NPI
1043749872
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2017
Record last updated
2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.