Individual
RICHARD TORBEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9001 BROADWAY, MERRILLVILLE, IN 46410-7041
(219) 795-3360
(219) 756-6500
Mailing address
9001 BROADWAY, MERRILLVILLE, IN 46410-7041
(219) 795-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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