Individual
DR. KURT LARSON GLESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-4159
(309) 353-4531
Mailing address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-4159
(309) 353-4531
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016005522
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005522
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3503
FL
Other
Enumeration date
04/29/2012
Last updated
12/04/2024
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