Individual
JUDY LYNN FRUEHBRODT-GLENZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 STATE AVE, FARIBAULT, MN 55021
(507) 333-3300
(507) 333-3214
Mailing address
300 STATE AVE, FARIBAULT, MN 55021-6319
(507) 333-3300
(507) 333-3214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080136009
RAIL ROAD MEDICARE
—
05
—
603219200
—
MN
Enumeration date
07/10/2006
Last updated
01/07/2021
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