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Organization
HANSEN MEDICAL PC
Active
Organization
HANSEN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L REIMERS (OFFICE MANAGER)
(308) 381-8546
Entity
Organization
Contact information
Practice address
302 C STREET, SHELTON, NE 68876
(308) 647-6992
(308) 647-6992
Mailing address
3016 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 381-8546
(308) 381-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025353400
—
NE
Enumeration date
03/01/2007
Last updated
06/17/2008
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