Individual
GLEN A POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-1922
Mailing address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-1922
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036146918
IL
207T00000X
Neurological Surgery Physician
Primary
60948-20
WI
207T00000X
Neurological Surgery Physician
MC-2920
ID
207T00000X
Neurological Surgery Physician
MD53827
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030532
—
WI
Enumeration date
09/18/2008
Last updated
08/07/2024
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