MEDICARE: DR. WADE GLAZNER MCCLAIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	2015-00960	NC

General Provider Information

NPI Number	:	1386873677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WADE GLAZNER MCCLAIN DO

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 420
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5491
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 MEADOWMONT VILLAGE CIR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-7506
Country	:	US
Telephone Number	:	984-974-6484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	08/28/2024

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