Individual
DR. RICHARD MORRIS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
791 SUMMIT AVE, PROHEALTH CARE REGIONAL CANCER CENTER, OCONOMOWOC, WI 53066-3844
(262) 569-0554
Mailing address
915 KURTIS DR, ELM GROVE, WI 53122-2118
(262) 797-8566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
19046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30144000
—
WI
Enumeration date
02/15/2006
Last updated
03/27/2012
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