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Individual

GLEN A POLLOCK

Active
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Individual

GLEN A POLLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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