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Individual

CHRIS J HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
W156N11048 PILGRIM RD, GERMANTOWN, WI 53022-4247
(262) 255-6895
(262) 255-6982
Mailing address
PO BOX 286, GERMANTOWN, WI 53022-0286
(262) 255-6895
(262) 255-6982

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1537
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000087068
PTAN
WI
Enumeration date
12/20/2006
Last updated
05/26/2009
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