person
Dr. Glen Joseph Booth, MD
General Practice Physician in Minneapolis, Minnesota
NPI 1083740393

Glen Joseph Booth is a General Practice Physician based in Minneapolis, MN. Glen Joseph Booth practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Glen Joseph Booth is 1083740393 and holds a License No. B29991 (Minnesota).

The current practice location address for Glen Joseph Booth is 1089 25Th Ave Se, Minneapolis, MN and can be reached out via phone at 612-379-0212. You can also correspond with Glen Joseph Booth through the mailing address at 1089 25TH AVE SE, MINNEAPOLIS, MN - 55414-2637 (mailing address contact number: 612-379-0212).

Location: 1089 25Th Ave Se, Minneapolis, MN, 55414-2637
person
Provider Profile Details
NPI Number
1083740393
Provider Name
Glen Joseph Booth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1089 25Th Ave Se, Minneapolis, MN, 55414-2637
Phone Number
612-379-0212
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1089 25Th Ave Se
City
State
Zip
55414-2637
Phone Number
612-379-0212
Fax Number
person
Provider Business Mailing Address Details
Address
1089 25Th Ave Se
City
State
Zip
55414-2637
Phone Number
612-379-0212
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
B29991 (Minnesota)
Definition
Definition to come...
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