Glenn Leroy Detlefsen in Rosemount - Family Medicine
Glenn Leroy Detlefsen - NPI 1013052554
Glenn Leroy Detlefsen is a Family Medicine in Rosemount, Minnesota. Glenn Leroy Detlefsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glenn Leroy Detlefsen is 1013052554. The last update date is 2007-07-08.
Glenn Leroy Detlefsen's current location address is 15120 Chippendale Ave W, Rosemount, Minnesota. You can contact this provider via phone number 6514234114. The mailing address for Glenn Leroy Detlefsen is 15120 Chippendale Ave W, Rosemount, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glenn Leroy Detlefsen |
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Address | 15120 Chippendale Ave W, Rosemount, Minnesota |
Phone Number | 6514234114 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1013052554 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 15120 Chippendale Ave W |
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City | Rosemount |
State | Minnesota (MN) |
Post Code | 550681796 |
Phone Number | 6514234114 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 26214 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Glenn Leroy Detlefsen by the Centers for Medicare & Medicaid Services?
The Glenn Leroy Detlefsen has been issued the NPI (National Provider Identifier) 1013052554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glenn Leroy Detlefsen?
The Glenn Leroy Detlefsen is physically situated at 15120 Chippendale Ave W, in the city of Rosemount, state of MN, with the postal code 550681796.
What is Glenn Leroy Detlefsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenn Leroy Detlefsen is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Glenn Leroy Detlefsen receive its 1013052554 assignment from the Centers for Medicare & Medicaid Services?
The Glenn Leroy Detlefsen was assigned its 1013052554 by the Centers for Medicare & Medicaid Services on 2007-02-21.
When was the information pertaining to Glenn Leroy Detlefsen most recently updated or revised?
The details related to Glenn Leroy Detlefsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.