Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN A HANSEN, D.P.M.
Active Sole ProprietorGLENN A HANSEN, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in GREEN BAY, Wisconsin. NPI 1194732669 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · GREEN BAY, WI
Registration Details
- NPI Number
- 1194732669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.063527482987 yrs)
- Last Updated
- Mar 26, 2010
- License
-
403-025 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2331 S ONEIDA STGREEN BAY, WI, 543045267Browse WI providers · Browse ZIP 54304
- Phone
- 9204991177
- Fax
- 9204995398
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.