Individual
ALEXANDRA C GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 828-2400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054788
—
WI
Enumeration date
04/10/2014
Last updated
07/26/2024
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