Organization
TIMBER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN REBMAN MD (OWNER)
(630) 930-4014
Entity
Organization
Contact information
Practice address
13770 FRONTIER CT, BURNSVILLE, MN 55337-4810
(702) 848-2256
(702) 485-6746
Mailing address
7881 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89117-8327
(702) 508-2153
(702) 508-2435
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487181558
—
MN
Enumeration date
03/18/2022
Last updated
03/18/2022
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