NORRIS GLICK MD NPI 1003974718

NPI Information

  • NPI: 1003974718
  • Provider Name: NORRIS GLICK, MD
  • Classification: Pediatrics - 2080P0008X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • Address: 317 KNUTSON DRIVE
    MADISON, WI
    ZIP 53704
  • Phone: (608) 301-1791

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NPI Details

Norris Glick, MD is a neurodevelopmental disabilities pediatrics in Madison, WI. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Norris Glick, MD NPI is 1003974718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

317 KNUTSON DRIVE
MADISON, WI
ZIP 53704-197
Phone: (608) 301-1791

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0008XPediatricsNeurodevelopmental Disabilities28355-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B84882MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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