Individual
DR. GLENN D. VOGELSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
600 N WESTHAVEN DR, OSHKOSH, WI 54904-6926
(920) 237-5000
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 237-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200001324
NC
207Q00000X
Family Medicine Physician
Primary
53568
WI
207Q00000X
Family Medicine Physician
MD2012-0674
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80284582
—
NM
01
—
NCT3670258
MEIDCARE
NC
Enumeration date
10/31/2006
Last updated
10/11/2023
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