Dr GLENDA M GENSOLIN is a female medical professional, specializing in Family Medicine. She graduated in 1979.
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE
SD
57625
Tel: 6059647724
| Npi | 1033195748 |
| Pac Id | 3274620349 |
| Professional Enrollment Id | I20190508001087 |
| Last Name | GENSOLIN |
| First Name | GLENDA |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL |
| Group Practice Pac Id | 7517852759 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 24276 166TH AIRPORT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625 |
| Phone Number | 6059647724 |
| Hospital Affiliation Ccn 1 | 430083 |
| Hospital Affiliation Lbn 1 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
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| Professional Accepts Medicare Assignment | Y |
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