Glenn Hansen (NPI# 1194732669, PAC ID# 0648386573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1194732669 |
| PAC ID by PECOS | 0648386573 |
| Professional Enrollment ID | I20120111000926 |
| Full Name | Glenn Hansen |
| Address |
2331 S Oneida St Green Bay WI 54304-5267 |
| Phone Number | 9204991177 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2331 S Oneida St, Green Bay, WI 54304-5267 | 9204991177 |
| Street Address |
2331 S ONEIDA ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54304-5267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Sayers | Psychologist, Clinical | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Rebecca M Krueger | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Sangita A Patel | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Veeranagouda A Patil | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Eusebio G Hernandez | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Rhonda K Huhtala | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Mary Beth King | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| David M Danby | Family Medicine | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Monique L Gore | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Lisa Shaw | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Find all physicians in zip 54304 | |||
| City | GREEN BAY |
| Zip Code | 54304 |
| Specialty | PODIATRY |
| City + Specialty | GREEN BAY + PODIATRY |
Please comment or provide details below to improve the information on Glenn Hansen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.