Whalio Doctors

NPI 1194732669

Glenn a Hansen, DPM

Practitioner Foot Surgery Podiatrist Green Bay, WI

Practice location

Address
2331 S Oneida St, Green Bay, WI 54304-5267
Phone
(920) 499-1177
Fax
(920) 499-5398

Registered specialties

Foot Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 403-025 (WI)

Registry record

NPI
1194732669
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Aug 2006
Record last updated
26 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.