DR. GLEN JOSEPH BOOTH


Address: 1089 25th Ave Se, Minneapolis, MN 55414-2637
Phone: 6123790212

DR. GLEN JOSEPH BOOTH (NPI# 1083740393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083740393
Entity Type Individual
Full Name DR. GLEN JOSEPH BOOTH
Credential M.D.
Practice Address 1089 25th Ave Se
Minneapolis
MN 55414-2637
Practice Telephone 6123790212
Mailing Telephone 6123790212
Enumeration Date 2007-02-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice B29991 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 1089 25TH AVE SE
City MINNEAPOLIS
State MN
Zip Code 55414-2637

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407496516 Liza N Meredith Psychologist Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 2020-01-07
1346888732 Danielle Lee Ann Vogler-bos Naturopath 575 Se 9th St, Suite #52, Minneapolis, MN 55414 2019-12-16
1164071148 Amy C Moran Psychologist Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 2019-09-11
1346806585 Kristen Bastug Student in an Organized Health Care Education/Training Program General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 2019-05-14
1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1427530666 Kelli Howard Psychologist 2724 University Ave Se Unit B, Minneapolis, MN 55414 2018-09-04
1306370218 Jiexiong Yang Student in an Organized Health Care Education/Training Program 814 Essex St Se, Minneapolis, MN 55414 2017-04-18
1598297699 Patrick Curran Student in an Organized Health Care Education/Training Program 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 2017-03-29
1679923957 Jillian Theresa Tholen Dietitian, Registered 411 E Hennepin Ave, Minneapolis, MN 55414 2016-06-16
1073960290 First Language Interpreter & Translation Services LLC Interpreter 2828 University Ave Se Suite 150, Minneapolis, MN 55414 2016-05-17
Find all providers in zip 55414

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447857230 Minneapolis Integrative Medicine Center, LLC General Practice 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 2020-10-05
1689930554 Linda Gail Olson General Practice 17935 24th Ave N, Minneapolis, MN 55447 2012-04-05
1487947248 Ken Rosenblum General Practice 1418 Mount Curve Ave, Minneapolis, MN 55403-1010 2011-05-25
1235469594 Andrej John Szabad General Practice 1615 E River Ter, Minneapolis, MN 55414-3676 2010-01-10
1861725335 Chs Tennessee Medical, PC General Practice 380 Ameriprise Financial Ctr, Minneapolis, MN 55474-0003 2009-09-15
1477721157 Akbar Sajady General Practice 4400 Oliver Avenue North, Minneapolis, MN 55412-1123 2008-02-14
1083734826 Kenneth Reed Mcmillan General Practice 2020 Bloomington Ave, Minneapolis, MN 55404-3073 2007-03-29
1811934763 Neighborhood Healthsource General Practice 2301 Central Ave Ne, Minneapolis, MN 55418 2006-06-01
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
1811530256 Sme Minnesota P.C. General Practice 100 N 6th St, Minneapolis, MN 55403-1505 2019-10-17
Find all providers in MINNEAPOLIS

Competitor

Search similar providers

City MINNEAPOLIS
Zip Code 55414

Improve Information

Please comment or provide details below to improve the information on DR. GLEN JOSEPH BOOTH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches