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Individual

PAMELA S.F. GLENN

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 823-6300
Mailing address
6440 BALLANTINE CT, INVER GROVE HEIGHTS, MN 55077-2163
(651) 552-9454

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CM000036
SD
367A00000X
Advanced Practice Midwife
R034727
SD
367A00000X
Advanced Practice Midwife
Primary
R117394-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-04217
MEDICA
01
1018938
PREFERRED ONE
01
107235
UCARE
01
2300764
AMERICA'S PPO (ARAZ)
01
408L7GL
BCBS MN
MN
01
41553
SIOUX VALLEY HEALTH PLAN
01
HP16279
HEALTH PARTNERS
Enumeration date
01/25/2006
Last updated
07/08/2007
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