Provider Demographics
NPI:1073966776
Name:GLESSING, ROZA YUNUSOVA (MD)
Entity Type:Individual
Prefix:
First Name:ROZA
Middle Name:YUNUSOVA
Last Name:GLESSING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROZA
Other - Middle Name:DJUMAEVA
Other - Last Name:YUNUSOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5225 23RD AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7927
Practice Address - Country:US
Practice Address - Phone:701-417-6428
Practice Address - Fax:701-234-7230
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL 14205207R00000X
NDPT15254208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine