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Individual

DUANE D GLASNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
114 NE 3RD ST, ROLLA, NC 58367-0699
(701) 477-3111
(701) 477-6342
Mailing address
PO BOX 699, ROLLA, ND 58367-0699
(701) 477-3111
(701) 477-6342

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2798
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12590
ND
Enumeration date
07/01/2006
Last updated
07/08/2007
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