Glenn W Weidenbacher
MD | Pediatrics | Male
Glenn W Weidenbacher, MD is a Big Lake, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Glenn W Weidenbacher is
16830 198th Ave Nw, Big Lake Clinic, Big Lake, Minnesota - 55309. He can be contacted on phone at
763-263-7300 and fax number 763-263-7334.
Glenn W Weidenbacher is a sole proprietor of his business.
NPI number (Unique professional ID) for Glenn W Weidenbacher is
1801873674 which was assigned by NPPES on 22 Dec, 2005 and it was last updated on 10 Mar, 2008.
Glenn W Weidenbacher license number is
48083 for Pediatrics (208000000X) in Minnesota.
Glenn W Weidenbacher is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Glenn W Weidenbacher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Glenn W Weidenbacher |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Glenn W Weidenbacher address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 16830 198th Ave Nw, Big Lake Clinic
Big Lake, MN, 55309
United States |
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| Phone Number : | 763-263-7300 |
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| Fax Number : | 763-263-7334 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801873674 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Dec, 2005 |
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| Last Updated On : | 10 Mar, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenn W Weidenbacher are as mentioned. Primary taxonomy code for Glenn W Weidenbacher, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 48083 | MN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 16830 198th Ave Nw, Big Lake Clinic
Big Lake, MN, 55309
United States |
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| Phone Number : | 763-263-7300 |
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Business Location:
Patients can refer following map for directions to
Glenn W Weidenbacher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.