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Contact Information

GLENN P DAUBERT, MD
6900 BRUCEVILLE ROAD
SACRAMENTO, CA95823
 Phone: 916-688-2535
 Fax: 916-688-2350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GLENN P DAUBERT · (Male)

NPI # 1528005378
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2006
Last updated 12/20/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C52359
  • MI Medicaid 104625314
  • MI Other GD078739 BS/BS OF MICHIGAN
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL SO SACRAMENTO - (Acute Care)
    6600 BRUCEVILLE ROAD
    SACRAMENTO, CA 95823
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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