Individual
DR. BRIAN GLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Mailing address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101011457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256110464
BLUE CROSS BLUE SHIELD
MI
05
—
114687630
—
MI
Enumeration date
02/20/2006
Last updated
01/03/2012
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