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Individual

DR. GLENN F. GUMAER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3190 STATE ST, STE 101, MEDFORD, OR 97504-8498
(541) 770-1330
(541) 770-7090
Mailing address
3190 STATE ST, STE 101, MEDFORD, OR 97504-8498
(541) 770-1330
(541) 770-7090

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2941
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226598
OR
Enumeration date
07/22/2006
Last updated
08/24/2016
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