Individual
GLENN HOWARD WEYHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 N 2ND ST STE 206, BOISE, ID 83702-6130
(208) 342-2516
(208) 342-1661
Mailing address
222 N 2ND ST STE 206, BOISE, ID 83702-6130
(208) 342-2516
(208) 342-1661
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
M3119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000709
REGENCE BLUE SHIELD OF ID
ID
05
—
002523800
—
ID
01
—
01602650631
AMA MEMBERSHIP
ID
01
—
13D0521509
CLIA LAB ID NUMBER
ID
01
—
140277
OMAP OREGON MEDICAID
OR
01
—
50120
BLUE CROSS OF IDAHO
ID
01
—
M3119
IDAHO STATE LICENSE
ID
01
—
MD1637
IDAHO CONTROLLED SUBSTANC
ID
Enumeration date
03/28/2007
Last updated
03/07/2023
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