Individual
THOMAS PAUL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4630
Mailing address
3302 N 120TH CT APT 336, OMAHA, NE 68164-4186
(305) 467-0565
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4898
NE
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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