Glen Edward Gardner III
Glen Edward Gardner III is a Case Manager/Care Coordinator in Wausau, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
115 N 6th StWausau, WI 54403-5519
Phone: (608) 322-9573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1912598574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 27, 2021 |
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