Provider Demographics
NPI:1497506786
Name:SIMONE GLINBERG MD SC
Entity Type:Organization
Organization Name:SIMONE GLINBERG MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-957-7910
Mailing Address - Street 1:3302 PRAIRIE GLADE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1776
Mailing Address - Country:US
Mailing Address - Phone:608-957-7910
Mailing Address - Fax:
Practice Address - Street 1:725 HEARTLAND TRL STE 110
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1976
Practice Address - Country:US
Practice Address - Phone:608-957-7910
Practice Address - Fax:608-957-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty