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Individual

THOMAS N HANSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35068282
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109694000
MEDICAID
WV
05
0133288
OH
01
64951536
MEDICAID
KY
Enumeration date
09/27/2005
Last updated
07/08/2007
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