IndividualActive
Glenn Goldstein, MD
NPI 1346336575 · Colon & Rectal Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1346336575
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01039960 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7900 W Jefferson Blvd
Suite 302
Fort Wayne, IN 46804-4128
Phone: (260) 435-1800
Fax: (260) 435-1900
Approximate (ZIP-level) locationGet directions
Mailing address
7900 W Jefferson Blvd
Fort Wayne, IN 46804-4128
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.