Individual
DR. ROSS ANDREW GLINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69958
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101247917
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912136110
—
WI
Enumeration date
07/08/2009
Last updated
08/04/2020
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