Individual
DR. JOHN A GLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 SOUTH MAIN ST., NECEDAH, WI 54646-0531
(608) 565-2222
(608) 565-3931
Mailing address
209 SOUTH MAIN ST., P.O. BOX 531, NECEDAH, WI 54646-0531
(608) 565-2222
(608) 565-3931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3265
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38889500
—
WI
Enumeration date
10/11/2006
Last updated
07/08/2007
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