Provider Demographics
NPI:1538472824
Name:BALDWIN, MONROE GLASS II (MD)
Entity Type:Individual
Prefix:DR
First Name:MONROE
Middle Name:GLASS
Last Name:BALDWIN
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:213 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-4435
Mailing Address - Country:US
Mailing Address - Phone:434-846-1447
Mailing Address - Fax:434-846-1447
Practice Address - Street 1:2058 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6417
Practice Address - Country:US
Practice Address - Phone:434-528-5276
Practice Address - Fax:434-525-4257
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101016823207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB05301Medicare UPIN