Individual provider · Type 1 NPI
Glenn A. Hansen, D.P.M.
Foot Surgery Podiatrist · Green Bay, WI
NPI number
1194732669
Active
Practice location
2331 S Oneida St
Green Bay, WI 54304-5267
Fax (920) 499-5398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 403-025 (WI) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1194732669
Glenn A. Hansen, D.P.M.'s National Provider Identifier is 1194732669, issued on Aug 1, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Green Bay, WI. The record was last updated on Mar 26, 2010.