Individual
DR. JASON HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SAINT CLARE'S HOSPITAL-DEPT. OF ANESTHESIOLOGY, 3400 MINISTRY PARKWAY, WESTON, WI 54476
(715) 393-3000
Mailing address
PO BOX 11529, YAKIMA, WA 98909-2428
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
48083
WI
207L00000X
Anesthesiology Physician
Primary
MD60833231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34691000
—
WI
Enumeration date
06/08/2006
Last updated
09/11/2019
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