GLEN T. HANSEN

MILWAUKEE, WI
NPI1679754675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  66674)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: OH  35082795)
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH  35-082795)
Enumeration Date2007-11-18
Last Update Date2019-10-30
Business Address
GLEN T. HANSEN MD
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone number: 414-805-3750
Mailing Address
GLEN T. HANSEN MD
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3750