Dennis D Glawe, DO
Individual provider Active NPI Family Medicine Physician · Calmar, IA
NPI 1447255161 · NPPES record last updated Aug 20, 2010
Key facts
- NPI
- 1447255161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1861 (IA)
- Practice address
- 101 N Maryville St
Calmar, IA 52132-8521 - Phone
- (563) 562-3211
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1861 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Past | Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26655 | WI | |
| Family Medicine Physician | 207Q00000X | 1861 | IA | Yes |
Addresses
Primary practice location
101 N Maryville St
Calmar, IA 52132-8521
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other providers in Calmar, IA
- Calmar Family Chiropractic
- Stephanie L Cenek
- Marie C Conway
- Megan Joann Diaz-Freed
- Beverly Fredrick
- Gundersen Clinic, LTD.
- Infinite Angels Home Health Inc
- Infinite Angels Home Healthcare
- Darren S Koozer
- Wendy S Kuennen
All providers in Calmar, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.