Individual
MRS. GINA MARIE GLAUBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3950 17TH ST, SUITE A, BAKER CITY, OR 97814-1300
(541) 523-1001
Mailing address
3950 17TH ST, SUITE A, BAKER CITY, OR 97814-1300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01136
OR
Other
Enumeration date
09/26/2006
Last updated
07/16/2007
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