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Individual

MICHAEL L GLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD, LEMOYNE, PA 17043-2045
(717) 774-1366
(717) 774-4232
Mailing address
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD, LEMOYNE, PA 17043-2045
(717) 774-1366
(717) 774-4232

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD016748E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006339620001
PA
Enumeration date
11/03/2005
Last updated
03/18/2011
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