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

Glen Gross

Individual provider Diagnostic Radiology Physician · NPI 1467814467

Glen Gross is a Diagnostic Radiology in Roseville, Minnesota. Graduated from University of Minnesota Medical School in 2016, 10 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2016
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Practice location Address checks out

2355 Hwy 36 W Ste 100
Roseville, MN 55113
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-4093
  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (651) 672-6000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 69817 (MN)

Record details

NPI number1467814467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address2355 Hwy 36 W., Ste. 100, Roseville, MN 55113

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Roseville