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Individual

MICHAEL GLUCK

Active
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Individual

MICHAEL GLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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