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Individual

NORMAN J GLOEKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4239 LAKE AVENUE, ASHTABULA, OH 44004-6844
(440) 992-3112
(440) 992-1139
Mailing address
4239 LAKE AVENUE, ASHTABULA, OH 44004-6844
(440) 992-3112
(440) 992-1139

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
823
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000131102
ANTHEM
OH
05
0444353
OH
01
73735293001
CIGNA
OH
01
792350266
MC RROAD
OH
Enumeration date
07/07/2006
Last updated
07/01/2013
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