Individual
DR. GINA GEORGEANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
75 SHERRY AVE, PARK FALLS, WI 54552-1468
(715) 762-0200
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002166-15
WI
Other
Enumeration date
07/19/2019
Last updated
04/05/2021
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