Individual
MICHAEL CHRISTOPHER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 464-9054
(219) 465-1749
Mailing address
2022 KELLE DRIVE, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT195032
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01075562A
IN
Other
Enumeration date
06/12/2009
Last updated
03/17/2018
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