| Glenwood Medical Center | |
|
417 Franklin St S Glenwood MN 56334-1518 | |
| (320) 634-4521 | |
| (320) 634-2262 |
| Full Name | Glenwood Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 417 Franklin St S, Glenwood, Minnesota |
| Authorized Official Name and Position | Kirk Stensrud (CEO) |
| Authorized Official Contact | 3206342208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Medical Center 417 Franklin St S Glenwood MN 56334-1518 Ph: (320) 634-4521 | Glenwood Medical Center 417 Franklin St S Glenwood MN 56334-1518 Ph: (320) 634-4521 |
| NPI Number | 1649285172 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/23/2010 |
| Medicare PECOS PAC ID | 5294789194 |
|---|---|
| Medicare Enrollment ID | O20050812000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649285172 | NPI | - | NPPES |
| 376010300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sujatha Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699899468 PECOS PAC ID: 6608976311 Enrollment ID: I20070711000088 |
| Provider Name | Joan M Lunzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346253366 PECOS PAC ID: 5092617274 Enrollment ID: I20100318000781 |
| Provider Name | Breann E Neiger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184902330 PECOS PAC ID: 6305133927 Enrollment ID: I20160926002166 |