Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathaniel W Glick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053043281

Nathaniel W Glick is a Student in an Organized Health Care Education/Training Program in St Francis, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1741 E Eden Pl
St Francis, WI 53235-3644
Phone: (920) 858-9978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053043281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address1741 E Eden Pl, St Francis, WI 53235-3644

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