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Glenn Weidenbacher, MD
NPI 1801873674 · on the registry since 2005
Practice
- Address
- 16830 198th Ave Nw
Big Lake Clinic
Big Lake, MN 55309 - Phone
- (763) 263-7300
- Fax
- (763) 263-7334
- Organisation at this address
- Centracare Clinic
Fresenius Medical Care Centracare Dialysis, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota