Alan Richard Glatz NURSE PRACTITIONER

NPI 1417187659 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1417187659
Gender Male
Enumeration Date 07/22/2009
Last Updated 03/17/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1701 E COLLEGE AVE
BLOOMINGTON IL, 61704-2101, US
Phone (309) 664-3000
Fax (309) 664-3026
Business Location
1701 E COLLEGE AVE
BLOOMINGTON IL, 61704-2101, US
Phone (309) 664-3000
Fax (309) 664-3026
Toxanomy
Taxonomy Code 363L00000X
License State Illinois
License Number 041327580
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According to our database, Mr. Alan Richard Glatz NURSE PRACTITIONER NPI is 1417187659, taxonomy code is 363L00000X and license number is 041327580, license state is located at Illinois. Alan Richard Glatz NURSE PRACTITIONER physically located at 1701 E College Ave, Bloomington IL, 61704-2101. NPI Number Alan Richard Glatz NURSE PRACTITIONER has the Individual type.

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1417187659 NPI number is provided on an as is basis without warranty of any kind. 1417187659 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Richard Glatz NURSE PRACTITIONER are for informational purposes only.