Individual
GLENN M SALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
W10485 COUNTY LINE RD, BUTTERNUT, WI 54514-9041
(715) 769-3361
Mailing address
W10485 COUNTY LINE RD, BUTTERNUT, WI 54514-9041
(715) 769-3361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77373-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77373-30
—
WI
Enumeration date
09/29/2011
Last updated
09/29/2011
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