Dr GLEN D ENZENBERGER is a male medical professional, specializing in Family Medicine. He graduated in 1989 from Michigan State University College Of Osteopathic Medicine.
ASCENSION ST JOSEPH HOSPITAL
325 E M 55 B
ASCENSION ST JOSEPH HOSPITAL HURON
TAWAS CITY
MI
487638211
Tel: 9893624626
Npi | 1639167471 |
Pac Id | 9335275569 |
Professional Enrollment Id | I20100326000994 |
Last Name | ENZENBERGER |
First Name | GLEN |
Middle Name | D |
Suffix | |
Gender | M |
Credential | |
Medical School Name | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1989 |
Primary Specialty | FAMILY MEDICINE |
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Organization Legal Name | ASCENSION ST JOSEPH HOSPITAL |
Group Practice Pac Id | 9638070766 |
Number Of Group Practice Members | 18 |
Line 1 Street Address | 325 E M 55 B |
Line 2 Street Address | ASCENSION ST JOSEPH HOSPITAL HURON |
Marker Of Address Line 2 Suppression | |
City | TAWAS CITY |
State | MI |
Zip Code | 487638211 |
Phone Number | 9893624626 |
Hospital Affiliation Ccn 1 | 230100 |
Hospital Affiliation Lbn 1 | TAWAS ST JOSEPH HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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