Individual
DR. MICHAEL JUDE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N57 W6296 CENTER STREET, CEDARBURG, WI 53012
(262) 377-5130
(262) 377-5427
Mailing address
N57 W6296 CENTER STREET, CEDARBURG, WI 53012
(262) 377-5130
(262) 377-5427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001349
WI
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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