Provider Demographics
NPI:1689629750
Name:GLASPEY, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:GLASPEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3070 N 51 ST
Mailing Address - Street 2:#P309
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210
Mailing Address - Country:US
Mailing Address - Phone:414-447-2663
Mailing Address - Fax:414-447-2884
Practice Address - Street 1:3070 N 51ST ST
Practice Address - Street 2:#P309
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1645
Practice Address - Country:US
Practice Address - Phone:414-447-2663
Practice Address - Fax:414-447-2884
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI186812080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31356400Medicaid
WI31356400Medicaid
B53094Medicare UPIN