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Individual

ALAN S GLANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-2428
(207) 621-2451
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
015505
ME
207RP1001X
Pulmonary Disease Physician
015505
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330900099
ME
Enumeration date
05/10/2006
Last updated
11/10/2014
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