Provider Demographics
NPI:1568499721
Name:GLUPKER, CURTIS G (PT)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:G
Last Name:GLUPKER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 BEVIER STREET
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:MI
Mailing Address - Zip Code:49455
Mailing Address - Country:US
Mailing Address - Phone:231-861-2131
Mailing Address - Fax:231-861-4801
Practice Address - Street 1:71 BEVIER STREET
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MI
Practice Address - Zip Code:49455
Practice Address - Country:US
Practice Address - Phone:231-861-2131
Practice Address - Fax:231-861-4801
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501001014174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist