Organization · Type 2 NPI

Glenn A. Hansen, D.p.m.

Podiatric Clinic/Center · Green Bay, WI

NPI number 1437327475 Active

Practice location

2331 S Oneida St
Green Bay, WI 54304-5267

Fax (920) 499-5398

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100X403-025 (WI)

Podiatric Clinic/Center: Definition to come...

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About NPI 1437327475

Glenn A. Hansen, D.p.m.'s National Provider Identifier is 1437327475, issued on Feb 12, 2008. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Green Bay, WI. The record was last updated on Feb 12, 2008.