Individual
THOMAS J. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 LEAVENWORTH ST, OMAHA, NE 68102-3215
(402) 280-5500
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22403
NE
Other
Enumeration date
08/30/2006
Last updated
07/28/2008
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