Individual
GLENN KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1216 RYANS ROAD, WORTHINGTON, MN 56187-2202
(507) 372-6680
(507) 372-6651
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-6680
(507) 372-6651
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0856500
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525842100
—
MN
01
—
61435KR
BLUE CROSS OF MN
MN
Enumeration date
04/20/2006
Last updated
03/26/2014
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