Individual
JAMES GLAENZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
1216 14TH ST, HIGHLAND, IL 62249-2103
(618) 830-9004
Mailing address
1216 14TH ST, HIGHLAND, IL 62249-2103
(618) 830-9004
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2016024174
MO
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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