GLENN A. HANSEN, D.P.M. (NPI# 1437327475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437327475 |
| Entity Type | Organization |
| Organization Name | GLENN A. HANSEN, D.P.M. |
| Practice Address |
2331 S Oneida St Green Bay WI 54304-5267 |
| Practice Telephone | 9204991177 |
| Practice Fax Number | 9204995398 |
| Mailing Telephone | 9204991177 |
| Mailing Fax Number | 9204995398 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | DR. GLENN A. HANSEN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9204991177 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
403-025 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43217500 | 05 |
| Street Address |
2331 S ONEIDA ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194732669 | Glenn A Hansen | Podiatrist | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987788 | Elite Foot & Ankle Clinic Sc | Clinic/Center | 1779 Main St, Green Bay, WI 54302-3250 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679608392 | Advanced Foot & Ankle of Wisconsin LLC | Clinic/Center | 1050 S Milwaukee Avenue, Ste 102, Burlington, WI 53105-5310 | 2007-02-22 |
| 1295837425 | Mark P Hastings, Dpm, Sc | Clinic/Center | 3431 N 51st Blvd, Milwaukee, WI 53216-3228 | 2006-09-01 |
| 1033115456 | Sokaogon Chippewa Community | Clinic/Center | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2005-06-21 |
| 1114385960 | Mark A. Aldrich, D.p.m., Inc. | Clinic/Center | 737 Dorr St, Antigo, WI 54409-1472 | 2016-02-09 |
| 1932454279 | Podomedik Clinics LLC. | Clinic/Center | 2727 W Cleveland Ave, Suite 100, Milwaukee, WI 53215-2956 | 2012-07-23 |
| 1689976474 | Aspirus Clinics Inc | Clinic/Center | 1445 Merrill Ave, Wausau, WI 54401-2646 | 2010-11-30 |
| 1295042711 | Yomex LLC | Clinic/Center | 2525 N Mayfair Rd, Suite #80, Wauwatosa, WI 53226-1403 | 2010-09-03 |
| 1316101595 | Great Lakes Foot & Ankle of Greater Milwaukee | Clinic/Center | 8153 S 27th St, 400, Franklin, WI 53132-9549 | 2008-07-16 |
| 1710162003 | Renard Foot & Ankle Specialist LLC | Clinic/Center | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2008-01-04 |
| 1659569705 | Alan L Balkansky Dpm Sc | Clinic/Center | 101 Falls Rd, Suite 600, Grafton, WI 53024-2612 | 2007-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.