Whalio Doctors

NPI 1073519682

Glen R Wilensky, DPM

Practitioner Podiatrist Richmond, VA

Practice location

Address
7406 Brook Rd, Richmond, VA 23227-1817
Phone
(804) 262-7153
Fax
(804) 262-0104

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence VA 0103000938 (VA)

Registry record

NPI
1073519682
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jun 2005
Record last updated
19 Aug 2010

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.