Individual
DR. GLENN ROBERT MEINTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
324 W SUPERIOR ST, STE 517, DULUTH, MN 55802-1760
(218) 722-0326
(218) 722-4403
Mailing address
2107 E 4TH ST, DULUTH, MN 55812-1427
(218) 724-9581
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
532
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700690
MEDICA
MN
01
—
480034106
RAILROAD MEDICARE
MN
05
—
767218700
—
MN
01
—
77342ME
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/20/2006
Last updated
07/08/2007
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