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1295740041
GLEN H STENSTRUP
MILWAUKEE, WI
NPI
1295740041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 500-029)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
Mr. GLEN H STENSTRUP RD
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
Mr. GLEN H STENSTRUP RD
18378 W HILLCREST DR
NEW BERLIN, WI 53146-4127
Phone number: 262-679-4458
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