Individual
MICHAEL ALLEN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6580 S VIRGINIA ST, RENO, NV 89511-1117
(775) 853-9959
Mailing address
6580 S VIRGINIA ST, RENO, NV 89511-1117
(775) 853-9959
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
692
NV
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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