Individual
MR. GARY PAUL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1609 PHYSICIANS DR, TALLAHASSEE, FL 32308-4620
(850) 878-1171
(850) 942-1291
Mailing address
1609 PHYSICIANS DR, TALLAHASSEE, FL 32308-4620
(850) 878-1171
(850) 942-1291
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME32434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036688900
—
FL
Enumeration date
08/12/2005
Last updated
05/21/2013
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