Weidenbacher, Glenn W

Weidenbacher, Glenn W is an individual health care provider with primary practice located at 16830 198Th Ave Nw Big Lake Clinic, Big Lake MN 55309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Weidenbacher, Glenn W can be contacted via phone (763) 263-7300.

Contact Information

Primary practice address
16830 198Th Ave Nw Big Lake Clinic Big Lake MN 55309
Phone: (763) 263-7300
Fax: (763) 263-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48083 Minnesota

Profile Details

NPI number 1801873674
LBN Legal business name Weidenbacher, Glenn W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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