IndividualActive
Glenn Skattebo
NPI 1194291831 · Driver · Brown Deer, WI
Provider details
- NPI number
- 1194291831
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- S310-2934-3090-03 (WI)
Mailing address
7684 N 51st St
Brown Deer, WI 53223-4353
Registry dates
- Enumerated
- 2018-10-21
- Last updated
- 2018-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.