Individual
DR. SCOTT MICHAEL GLOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
298 MAIN ST, YARMOUTH, ME 04096-6751
(207) 846-5100
(207) 846-5112
Mailing address
298 MAIN ST, YARMOUTH, ME 04096-6751
(207) 846-5100
(207) 846-5112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1326
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044749
BLUE CROSS BLUE SHIELD
ME
Enumeration date
11/29/2006
Last updated
07/09/2007
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