Individual
SHARON A GLANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1235 S 24TH ST, MANITOWOC, WI 54220-5516
(920) 320-6620
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
(920) 320-4155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
58411
WI
363L00000X
Nurse Practitioner
Primary
669
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0373980001
DMERC
WI
01
—
1003310
TOUCHPOINT
WI
01
—
10485
NETWORK HEALTH PLAN
WI
01
—
390806395
CIGNA
WI
05
—
43847200
—
WI
01
—
500004071
RAILROAD MEDICARE
WI
Enumeration date
08/24/2006
Last updated
06/12/2012
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