Individual
CURTIS WAYNE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3431 N 13TH ST, SHEBOYGAN, WI 53083-2938
(414) 359-4979
(414) 328-4494
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22202
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30274300
—
WI
Enumeration date
01/09/2007
Last updated
10/16/2023
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