Provider Demographics
NPI:1083046320
Name:GLANDER, ELEAH JENNIFER (DC)
Entity Type:Individual
Prefix:MS
First Name:ELEAH
Middle Name:JENNIFER
Last Name:GLANDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10920W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2516
Mailing Address - Country:US
Mailing Address - Phone:414-235-3807
Mailing Address - Fax:
Practice Address - Street 1:1900 W RYAN RD
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-8233
Practice Address - Country:US
Practice Address - Phone:414-761-5777
Practice Address - Fax:414-761-7915
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4893-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor