Individual
MR. JEREMY DALE GLAWATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1026 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 369-7085
(319) 368-5932
Mailing address
1026 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 369-7085
(319) 368-5932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/23/2007
Last updated
10/13/2011
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