Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN EDWARD GARDNER III
Active Sole ProprietorCase Manager · WAUSAU, WI
Registration Details
- NPI Number
- 1912598574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2021 (5.2329456504313 yrs)
- Last Updated
- Jan 27, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 N 6TH STWAUSAU, WI, 544035519Browse WI providers · Browse ZIP 54403
- Phone
- 6083229573
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| BRYCE HANSEN | — | 1982169462 |
| DAPHNEY ANN BRANDENBURG | BA | 1952867913 |
| MEGHAN ANN LEU | — | 1174172720 |
| DYLAN BLASCHKA | — | 1386293744 |
| JENNIFER NELLES | MS | 1770132060 |
| RAYMOND ALLEN PARTLO | BS | 1902456627 |
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.