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1760535173
GLENN ALAN WIELENGA
PLAINS, MT
NPI
1760535173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 4937)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. GLENN ALAN WIELENGA M.D.
807 S. 5TH AVE
PLAINS, MT 59859
Phone number: 406-826-3141
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Mailing Address
Dr. GLENN ALAN WIELENGA M.D.
PO BOX 1119
PLAINS, MT 59859-1119
Phone number: 406-826-3141
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