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Glenn Weidenbacher, MD
NPI 1801873674 · Pediatrics Physician · Big Lake, MN
Glenn Weidenbacher, MD is a Pediatrics Physician provider in Big Lake, MN (NPI 1801873674).
Provider details
- NPI number
- 1801873674
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 48083 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16830 198th Ave Nw
Big Lake Clinic
Big Lake, MN 55309
Phone: (763) 263-7300
Fax: (763) 263-7334
Street-level locationGet directions
Mailing address
16830 198th Ave Nw
Big Lake, MN 55309
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2008-03-10
Frequently asked questions
- What is Glenn Weidenbacher's NPI number?
- Glenn Weidenbacher's National Provider Identifier (NPI) is 1801873674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Weidenbacher's specialty?
- Glenn Weidenbacher is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Glenn Weidenbacher located?
- Glenn Weidenbacher's practice location on file with NPPES is 16830 198th Ave Nw, Big Lake, MN 55309.
- What is Glenn Weidenbacher's phone number?
- The practice phone number listed in the NPPES registry for Glenn Weidenbacher is (763) 263-7300.
- Is Glenn Weidenbacher's NPI active?
- Yes — Glenn Weidenbacher's NPI (1801873674) is active in the NPPES registry as of the last update on 2008-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.