Individual
STEVE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2000 N OXFORD AVE STE 2, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Mailing address
2000 N OXFORD AVE STE 2, EAU CLAIRE, WI 54703-5187
(715) 834-1078
(715) 834-1218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15960
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42022700
—
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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