Individual
DR. TYLER DAVID HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82167-21
WI
207P00000X
Emergency Medicine Physician
R-12983
IA
Other
Enumeration date
06/21/2023
Last updated
07/01/2026
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