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Individual
CHRISTOPHER J HANSEN
Active
Individual
CHRISTOPHER J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01059067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525349
ANTHEM
IN
05
—
200232890
—
IN
01
—
7754589
AETNA
IN
01
—
P01214610
RR MEDICARE PTAN
IN
Enumeration date
07/06/2006
Last updated
06/11/2021
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