Individual
GLEN MARK ROBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
(218) 333-5958
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
(218) 333-5958
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
29642
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068775800
—
MN
Enumeration date
07/22/2006
Last updated
05/02/2012
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