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Individual
GLENN EDWARD HEIMBURGER
Active
Individual
GLENN EDWARD HEIMBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012-01680
NC
207P00000X
Emergency Medicine Physician
Primary
MD60466685
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171T4
BCBS NC
NC
05
—
1750500347
—
NC
Enumeration date
06/04/2010
Last updated
04/22/2023
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