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

Glenn Eugene Sondag, MD

Individual provider Dermatology Physician · NPI 1518950120

Glenn Eugene Sondag, MD is a Dermatology Physician in Brookfield, Wisconsin. Licensed in Arizona and Wisconsin. Registered with an NPI since 2005.

Licensed in
AZ, WI
In the registry since
2005
Specialties on file
2
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

13800 W North Ave Ste 100
Brookfield, WI 53005-4974
Phone: (262) 754-4488
Fax: (262) 754-4940
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 21528020 (WI)
Dermatology Physician Taxonomy 207N00000X · Licence 7191 (AZ)

Record details

NPI number1518950120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESApril 20, 2008
Mailing address13800 W North Ave, Ste 100, Brookfield, WI 53005-4974

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