NPI 1003974718

Norris Glick, MD

Practitioner Pediatric Neurodevelopmental Disabilities Physician Madison, WI

Practice location

Address: 317 Knutson Drive, Madison, WI 53704-1197
Phone: (608) 301-1791

Registered specialties

Pediatric Neurodevelopmental Disabilities Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0008X Licence 28355-020 (WI)

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Registry record

NPI: 1003974718
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 20 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.