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Individual
P. MICHAEL GLOWACKI
Active
Individual
P. MICHAEL GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C1-0003719
DE
207Q00000X
Family Medicine Physician
Primary
MD058394L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000379801
—
DE
01
—
1007278000
TPI GROUP MA
PA
01
—
597586
TPI GROUP MEDICARE ID
PA
01
—
CD4829
TPI GROUP RR MEDICARE
PA
Enumeration date
07/01/2005
Last updated
06/13/2019
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