Glenn A. Hansen, D.p.m.

NPI 1437327475 - Clinic/Center - 261QP1100X

NPI Details
NPI 1437327475
Enumeration Date 02/12/2008
Last Updated 02/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLENN A. GLENN
Position SOLE PROPRIETOR
Phone (920) 499-1177
Fax (920) 499-5398
Practice Location
2331 S ONEIDA ST
GREEN BAY WI, 54304-5267, US
Phone (920) 499-1177
Fax (920) 499-5398
Business Location
2331 S ONEIDA ST
GREEN BAY WI, 54304-5267, US
Phone (920) 499-1177
Fax (920) 499-5398
Toxanomy
Taxonomy Code 261QP1100X
License State Wisconsin
License Number 403-025
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According to our database, Glenn A. Hansen, D.p.m. NPI is 1437327475, taxonomy code is 261QP1100X and license number is 403-025, license state is located at Wisconsin. Glenn A. Hansen, D.p.m. physically located at 2331 S Oneida St, Green Bay WI, 54304-5267. NPI Number 1033115704 has the healthcare provider type.

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1437327475 NPI number is provided on an as is basis without warranty of any kind. 1437327475 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn A. Hansen, D.p.m. are for informational purposes only.