Individual
JOHN J GLUSCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 POPLAR ST, SUITE 1, MILLINOCKET, ME 04462-1235
(207) 723-2034
(207) 723-3006
Mailing address
200 SOMERSET ST, MILLINOCKET, ME 04462-1258
(207) 723-5161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD13110
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205838174
—
ME
Enumeration date
08/11/2005
Last updated
04/27/2017
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