Individual
JORDAN GLUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 SIKES AVE, SIKESTON, MO 63801-5021
(573) 471-5755
Mailing address
1102 SIKES AVE, SIKESTON, MO 63801-5021
(573) 471-5755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2014011835
MO
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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