Individual
COURTNEY GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1929
(262) 551-8400
Mailing address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1929
(262) 551-8400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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