| Dr Glenn Leroy Detlefsen, MD | |
|
15120 Chippendale Ave W, Rosemount, MN 55068-1796 | |
| (651) 423-4114 | |
| Not Available |
| Full Name | Dr Glenn Leroy Detlefsen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 15120 Chippendale Ave W, Rosemount, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013052554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26214 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Leroy Detlefsen, MD 15120 Chippendale Ave W, Rosemount, MN 55068-1796 Ph: (651) 423-4114 | Dr Glenn Leroy Detlefsen, MD 15120 Chippendale Ave W, Rosemount, MN 55068-1796 Ph: (651) 423-4114 |
Mary C Homan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15075 Cimarron Ave, Rosemount, MN 55068 Phone: 651-322-8800 | |
Kevin Best, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15075 Cimarron Ave, Rosemount, MN 55068 Phone: 651-322-8800 |