DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN JOSEPH BOOTH, M.D.

Active

DR. GLEN JOSEPH BOOTH, M.D. is a General Practice healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1083740393 is currently active in the NPPES registry. Verify at CMS.

General Practice · MINNEAPOLIS, MN

Registration Details

NPI Number
1083740393
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2007 (19.434516898915 yrs)
Last Updated
Jul 8, 2007
License
B29991 (MN)

Practice Information

Address
1089 25TH AVE SE
MINNEAPOLIS, MN, 554142637
Browse MN providers · Browse ZIP 55414
Phone
6123790212
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in MINNEAPOLIS, MN

Name Credential NPI
MARTA TOCHACEK M.D. 1992776900
TERESA VRABEL SONIER MD 1760420129
PETER F WEISSMANN MD 1679515712
CATHERINE A DEMOSS D.O., MPH 1023109659
KENNETH REED MCMILLAN MD 1083734826
DR. SUNHIE LEE MD 1235396037
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.