DR. Glen Joseph Booth, M.D. is a general practice in Minneapolis, MN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Glen Joseph Booth, M.D. NPI is 1083740393. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1089 25TH AVE SE MINNEAPOLIS, MN ZIP 55414-637 Phone: (612) 379-0212
The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/8/2007.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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