Glenn Skattebo
NPI 1194291831 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7684 N 51st St
Brown Deer, WI 53223 - Phone
- (414) 430-5079
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin