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NPI Code Detail

MEDICARE: DAVID GLAUBKE MD

MEDICARE: DAVID GLAUBKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician77513-20WI

General Provider Information

NPI Number : 1649859299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GLAUBKE MD
Provider Business Mailing Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number : 262-408-5094
Provider Business Practice Location Address
First Line : 1032 S CESAR E CHAVEZ DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2203
Country : US
Telephone Number : 414-672-1353
Fax Number : 262-408-5094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 12/30/2025

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