Individual
DR. JOHN W. GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 E 2ND ST, DULUTH, MN 55805-2378
(218) 728-4491
(218) 728-7970
Mailing address
1401 EAST FIRST STREET, DULUTH, MN 55805
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696763900
—
MN
Enumeration date
07/10/2006
Last updated
07/15/2020
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