Individual
JASON ALEXANDER GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 451-1120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-169489
IL
208600000X
Surgery Physician
4301111469
MI
208600000X
Surgery Physician
Primary
64498
MN
Other
Enumeration date
03/23/2011
Last updated
04/21/2025
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