Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen T. Hansen, MD

Individual provider Diagnostic Radiology Physician · NPI 1679754675

Glen T. Hansen, MD is a Diagnostic Radiology in Milwaukee, Wisconsin. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2002, 24 years ago. Practices with Clinic Medical Services Company, a 214-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
24
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OH, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone: (414) 805-3750
Fax: (414) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 11100 Euclid Ave, Cleveland, OH 44106-1716 — (216) 844-1000
  • 1905 N Calhoun Rd, Brookfield, WI 53005-5036 — (262) 754-8000
  • 4455 S 108th St Ste 140, Greenfield, WI 53228-2504 — (414) 774-7226
  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 257-3060
  • 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 — (414) 935-8000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 66674 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35082795 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35-082795 (OH)

Record details

NPI number1679754675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 18, 2007
Last updated in NPPESOctober 30, 2019
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2002 (24 years in practice)
Group practice Clinic Medical Services Company — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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