Individual
MARGARET ELIZABETH GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2369-023
WI
363A00000X
Physician Assistant
Primary
9387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-14853
MEDICA PRIMARY
MN
01
—
01-22013
MEDICA CHOICE
MN
01
—
1031503
PREFERRED ONE
MN
01
—
150076
UCARE
MN
01
—
2251248
ARAZ
MN
05
—
4306653
—
MT
05
—
55411070
—
MN
01
—
561250047
MEDICARE
WI
01
—
711T0GL
BCBS
MN
01
—
HP48571
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
03/11/2021
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