Individual
MICHAEL GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00020228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
01
—
100011370
RAILROAD MEDICARE
WA
05
—
1004068
—
WA
01
—
806365400
IDAHO MEDICAID
WA
01
—
GL0410
BLUE SHIELD
WA
01
—
MD8222
ALASKA MEDICAID
WA
01
—
US0862472
AETNA/USHC SPECIALIST
WA
Enumeration date
07/25/2006
Last updated
03/23/2015
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