National Provider Identifier Database

GLENN W WEIDENBACHER, MD – NPI #1801873674
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

GLENN W WEIDENBACHER, MD
16830 198TH AVE NW
BIG LAKE CLINIC
BIG LAKE, MN55309
Phone: 763-263-7300
Fax: 763-263-7334
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GLENN W WEIDENBACHER

NPI Number 1801873674
Credentials MD
Entity Individual
Enumeration date 12/22/2005
Last updated 03/10/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 48083
Hospital affiliation n/a

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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