Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn P. Wedeen, MD

Individual provider Diagnostic Radiology Physician · NPI 1275577504

Dr. Glenn P. Wedeen, MD is a Diagnostic Radiology in Victorville, California. Graduated from Chicago College of Medicine and Surgery in 1987, 39 years ago. Practices with Desert Advanced Imaging Medical Center, a 205-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Chicago College of Medicine and Surgery
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15248 11th St
Victorville, CA 92395-3704
Phone: (760) 843-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G75574 (CA)

Record details

NPI number1275577504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESFebruary 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 1987 (39 years in practice)
Group practice Desert Advanced Imaging Medical Center — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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