GLENN A HANSEN

GREEN BAY, WI
NPI1194732669
Professional NameGLENN A. HANSEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: WI  403-025)
Enumeration Date2006-08-01
Last Update Date2010-03-26
Business Address
-- GLENN A HANSEN D.P.M.
2331 S ONEIDA ST
GREEN BAY, WI 54304-5267
Phone number: 920-499-1177
Mailing Address
-- GLENN A HANSEN D.P.M.
2331 S ONEIDA ST
GREEN BAY, WI 54304-5267
Phone number: 920-499-1177
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