Provider Demographics
NPI:1336479039
Name:GLOBA, ANDREW ANATOLI (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ANATOLI
Last Name:GLOBA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9580 NOBLE PARKWAY NORTH
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443
Mailing Address - Country:US
Mailing Address - Phone:763-561-6020
Mailing Address - Fax:763-561-2651
Practice Address - Street 1:9580 NOBLE PARKWAY NORTH
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443
Practice Address - Country:US
Practice Address - Phone:763-561-6020
Practice Address - Fax:763-561-2651
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN5311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor