IndividualActive
Glenn Hansen, D.P.M.
NPI 1194732669 · Foot Surgery Podiatrist · Green Bay, WI
Provider details
- NPI number
- 1194732669
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 403-025 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2331 S Oneida St
Green Bay, WI 54304-5267
Phone: (920) 499-1177
Fax: (920) 499-5398
Approximate (ZIP-level) locationGet directions
Mailing address
2331 S Oneida St
Green Bay, WI 54304-5267
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2010-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.