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Mr. Glenn Martin Skattebo
Driver in Brown Deer, Wisconsin
NPI 1194291831

Glenn Martin Skattebo is a Driver based in Brown Deer, WI. Glenn Martin Skattebo practices in Brown Deer, WI. The NPI Number for Glenn Martin Skattebo is 1194291831 and holds a License No. S310-2934-3090-03 (Wisconsin).

The current practice location address for Glenn Martin Skattebo is 7684 N 51St St, Brown Deer, WI and can be reached out via phone at 414-430-5079.

Location: 7684 N 51St St, Brown Deer, WI, 53223-4353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194291831
Provider Name
Glenn Martin Skattebo
Credential
Provider Entity Type
Individual
Gender
Male
Address
7684 N 51St St, Brown Deer, WI, 53223-4353
Phone Number
414-430-5079
Fax Number
Provider Enumeration Date
10/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7684 N 51St St
City
Brown Deer
State
Wisconsin
Zip
53223-4353
Phone Number
414-430-5079
Fax Number
person
Provider Business Mailing Address Details
Address
7684 N 51St St
City
Brown Deer
State
Wisconsin
Zip
53223-4353
Phone Number
414-430-5079
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
S310-2934-3090-03 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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