location
search-icon
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.

Location: 1089 25Th Ave Se, Minneapolis, MN, 55414-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Minneapolis
State
Minnesota
Zip
55414-2637
Phone Number
612-379-0212
Fax Number
person
Provider Business Mailing Address Details
Address
1089 25Th Ave Se
City
Minneapolis
State
Minnesota
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
208D00000X
License No.
B29991 (Minnesota)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.