Individual
KAREN GLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3674 S WASHINGTON ST, GRAND FORKS, ND 58201-5766
(701) 205-3000
(701) 732-2501
Mailing address
PO BOX 5210, GRAND FORKS, ND 58206-5210
(701) 205-3000
(701) 732-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4517-23
WI
363AS0400X
Surgical Physician Assistant
PA4380
MA
363AS0400X
Surgical Physician Assistant
PA9101667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291073000
—
FL
Enumeration date
11/18/2005
Last updated
01/22/2026
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