# PAUL V. GLOWACKI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235467036
- **Authorized official:** PAUL VINCENT GLOWACKI M.D. (OWNER)
- **Authorized official phone:** (402) 721-5727

## Contact information

- **Practice address:** 350 W 23RD ST, SUITE G, FREMONT, NE 68025-2592
- **Practice address phone:** (402) 721-5727
- **Practice address fax:** (402) 721-6096
- **Mailing address:** 350 W 23RD ST, SUITE G, FREMONT, NE 68025-2592
- **Mailing address phone:** (402) 721-5727
- **Mailing address fax:** (402) 753-6096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19985 | NE | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 01/22/2010