Glenn O Kallevig (NPI# 1174688725, PAC ID# 1355333956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174688725 |
| PAC ID by PECOS | 1355333956 |
| Professional Enrollment ID | I20040402000006 |
| Full Name | Glenn O Kallevig |
| Organization Legal Name | THOMAS L NUNNELEE INC |
| Address |
900 S Rum River Dr Suite 103 Princeton MN 55371-2239 |
| Phone Number | 7633899000 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4880792571 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 S Rum River Dr, Suite 103, Princeton, MN 55371-2239 | 7633899000 | THOMAS L NUNNELEE INC |
| Organization Legal Name | THOMAS L NUNNELEE INC |
| Physicians | 1 |
| Street Address |
900 S RUM RIVER DR SUITE 103 |
| City | PRINCETON |
| State | MN |
| Zip | 55371-2239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Marie Knafla | Chiropractic | 900 S Rum River Dr, Suite 102, Princeton, MN 55371-2239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald F Huebsch | Optometry | 523 1st St, Princeton, MN 55371-1603 | |
| Steven C Vanhooser | Chiropractic | 209 Rum River Dr N, Suite 2, Princeton, MN 55371-1630 | |
| Tyler Paul Roehl | Chiropractic | 114 A Rum River Dr N, Princeton, MN 55371-1762 | |
| Bryan P Rolph | Nephrology | Centracare Clinic | 112 S Rum River Dr, Princeton, MN 55371-1816 |
| Christine R Tobin | Qualified Audiologist | 101 6th Ave S, Suite 109, Princeton, MN 55371-1852 | |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Robert Kent Brownawell | General Surgery | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Bradley V Culver | Certified Registered Nurse Anesthetist (crna) | Central Minnesota Anesthesia Providers, Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Peter J Wenzel | Certified Registered Nurse Anesthetist (crna) | Central Minnesota Anesthesia Providers, Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Find all physicians in zip 55371 | |||
| City | PRINCETON |
| Zip Code | 55371 |
| Specialty | OPTOMETRY |
| City + Specialty | PRINCETON + OPTOMETRY |
Please comment or provide details below to improve the information on Glenn O Kallevig.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.