JUDY LYNN FRUEHBRODT-GLENZINSKI (NPI# 1649204645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649204645 |
| Entity Type | Individual |
| Full Name | JUDY LYNN FRUEHBRODT-GLENZINSKI |
| Other Name | JUDY LYNN FRUEHBRODT |
| Credential | M.D. |
| Practice Address |
300 State Ave Faribault MN 55021 |
| Mailing Address |
300 State Ave Faribault MN 55021-6319 |
| Practice Telephone | 5073333300 |
| Practice Fax Number | 5073333214 |
| Mailing Telephone | 5073333300 |
| Mailing Fax Number | 5073333214 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 41619 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 603219200 | 05 | |
| RAIL ROAD MEDICARE | 080136009 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 924 1st St Ne, Faribault, MN 550215441 | 5073333300 | 5073333214 |
| Street Address |
300 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071675 | Alex Sneiders | Specialist | 300 State Ave, Faribault, MN 55021-6319 | 2005-05-23 |
| 1215540810 | Bauj S Yang | Nurse Practitioner | 300 State Ave, Faribault, MN 55021-6319 | 2020-08-25 |
| 1013541408 | Kris Lee Dutton | Specialist/Technologist | 300 State Ave, Faribault, MN 55021-6319 | 2020-02-25 |
| 1073040838 | Mayo Clinic Health System-southeast Minnesota Region | Durable Medical Equipment & Medical Supplies | 300 State Ave, Faribault, MN 55021-6319 | 2017-05-11 |
| 1457779563 | Brian Igoni Wariboko | Family Medicine | 300 State Ave, Faribault, MN 55021-6319 | 2014-04-04 |
| 1003077223 | Jason Allen Lee | Physical Medicine & Rehabilitation | 300 State Ave, Faribault, MN 55021-6319 | 2008-06-19 |
| 1730264037 | James Layne Moore | Psychiatry & Neurology | 300 State Ave, Faribault, MN 55021-6319 | 2006-10-26 |
| 1508884917 | Shelly Joan Myrom | Nurse Practitioner | 300 State Ave, Faribault, MN 55021 | 2006-07-17 |
| 1134169246 | Jory M Burroughs | Obstetrics & Gynecology | 300 State Ave, Faribault, MN 55021-6319 | 2006-06-07 |
| 1164400057 | Travis L Roethler | Physician Assistant | 300 State Ave, Faribault, MN 55021-6319 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1649495037 | Arthur Peter Troedson | Family Medicine | 1101 Linden Ln, Minnesota Correctional Facility Faribault Health Svcs, Faribault, MN 55021-6400 | 2007-04-13 |
| 1568448579 | Paul Kenneth Jacobson | Family Medicine | 924 1st St Ne, Faribault, MN 55021-5441 | 2005-12-21 |
| 1700887973 | Janet Sue Chestnut | Family Medicine | 631 1st St Se, Faribault, MN 55021-6362 | 2005-08-10 |
| 1396745022 | Terence P Cahill | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2005-07-22 |
| 1457779563 | Brian Igoni Wariboko | Family Medicine | 300 State Ave, Faribault, MN 55021-6319 | 2014-04-04 |
| 1265750384 | Faribault Best Group Corp | Family Medicine | 200 State Ave, Faribault, MN 55021-6339 | 2010-05-13 |
| 1578752317 | Tawnya J Meier | Family Medicine | 100 State Ave, Faribault, MN 55021 | 2007-10-17 |
| 1861683617 | Jennifer Marie Brown | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2007-08-07 |
| 1548381395 | David Thomas Tapper | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2007-04-02 |
| Find all providers in FARIBAULT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.