Glenn A. Hansen, D.p.m.

NPI #1437327475 in Green Bay, Wisconsin

Provider Information

NPI Number
1437327475
Entity Type
Organization
Organization Name
Glenn A. Hansen, D.p.m.
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Feb 12, 2008
Last Updated
Feb 12, 2008

Practice Location

Address
2331 S ONEIDA ST
ZIP Code
54304-5267
Phone
(920) 499-1177

Authorized Official

Name
DR. GLENN A. HANSEN, D.P.M.
Title
SOLE PROPRIETOR
Phone
(920) 499-1177

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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