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Glenn A Kotnik, MD
Emergency Medicine Physician in Lafayette, Indiana
NPI 1578671921

Glenn A Kotnik is a Emergency Medicine Physician based in Lafayette, IN. Glenn A Kotnik practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Glenn A Kotnik is 1578671921 and holds a License No. 01039473A (Indiana).

The current practice location address for Glenn A Kotnik is 2600 Greenbush St, Lafayette, IN and can be reached out via phone at 765-448-8000. You can also correspond with Glenn A Kotnik through the mailing address at PO BOX 5545, LAFAYETTE, IN - 47903-5545 (mailing address contact number: 765-448-8000).

Location: 2600 Greenbush St, Lafayette, IN, 47903-5545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578671921
Provider Name
Glenn A Kotnik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2600 Greenbush St, Lafayette, IN, 47903-5545
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
08/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000586104 01 IN ANTHEM PROVIDER NUMBER
100360710 05 IN
000000085315 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01039473A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
01039473A (Indiana)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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