Individual
DR. GLENN ROBIN BUTTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1835 COUNTY ROAD C W STE 150, ROSEVILLE, MN 55113-1343
(651) 430-3800
(651) 430-1447
Mailing address
1950 NORTHWESTERN AVE S, STE 102, STILLWATER, MN 55082-7615
(651) 430-3800
(651) 430-3827
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32111
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
32111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00901903
MEDICA
MN
01
—
1008807
PREFERRED ONE
MN
01
—
115119
UCARE
MN
01
—
200036945
RAIL ROAD MEDICARE
—
01
—
26683
ARAZ
—
05
—
267312600
—
MN
05
—
32139000
—
WI
01
—
8K171BU
BLUE CROSS BLUE SHEILD
MN
01
—
HP17751
HEALTHPARTNERS
—
Enumeration date
05/31/2006
Last updated
03/30/2026
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