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Individual

DR. JANENE R GLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200
Mailing address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42887
MN
208000000X
Pediatrics Physician
8620A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1072689
AMERICA'S PPO
MN
01
12-00895
MEDICA
MN
01
127968
UCARE MINNESOTA
MN
05
190150800
MN
01
27F14GL
BLUE CROSS
MN
01
34005200
MEDICAID WI
MN
01
370020464
RAILROAD MEDICARE
MN
01
66-07835
MEDICA URGENT CARE
MN
01
HP31065
HEALTH PARTNERS
MN
01
NA9141025070
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
07/01/2024
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