Individual
MR. GLEN H STENSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
18378 W HILLCREST DR, NEW BERLIN, WI 53146-4127
(262) 679-4458
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
500-029
WI
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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