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GLEN F ANDERSON MD
NPI 1124089677
Surgery - Pediatric Surgery in Minneapolis, MN

Active since March 31, 2006
2530 CHICAGO AVE, #550, MINNEAPOLIS, MN 55404(612) 813-8000(612) 813-8005 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen F Anderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN F ANDERSON MD (NPI 1124089677) is an individual pediatric surgery provider in Minneapolis, Minnesota, licensed in Minnesota (26362) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1124089677
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameGLEN F ANDERSONCredential: MD
Location Address2530 CHICAGO AVE, #550Minneapolis, MN 55404-4289
Mailing Address2530 Chicago Ave, #550Minneapolis, MN 55404-4289 · (612) 813-8000 · Fax (612) 813-8005
Phone(612) 813-8000
Fax(612) 813-8005
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 8, 2012
✔ NPI 1124089677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MN · 26362
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
2530 CHICAGO AVE, Minneapolis, MN 55404
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Other Identifiers 3

Medicare UPINA95114MN
Medicaid932303100MN
Medicare ID-Type Unspecified020001638MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE HAWKINS
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE, CSC 390
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6102
TIFFANIE J WOODS CPNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 874-1292
CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KELLY L. ROOD M.D.
Pediatrics (Pediatric Cardiology)
2530 CHICAGO AVE, STE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8800
ROD T TARRAGO M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
TRESSA G DYKSTRA CNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6300
ROBERT HAMPTON RICH MD
Surgery (Pediatric Surgery)
2530 CHICAGO AVE, #550
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8000
THE CHILDREN'S HEART CLINIC
Special Hospital
2530 CHICAGO AVE, SUITE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Anderson's NPI number?

The NPI number for Glen Anderson is 1124089677. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Glen Anderson located?

Glen Anderson practices at 2530 Chicago Ave #550, Minneapolis, MN 55404. The listed phone number is (612) 813-8000.

What is Glen Anderson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Glen Anderson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.