Individual
ALLEN S. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
906 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-2300
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22203
WI
207P00000X
Emergency Medicine Physician
22203
WY
207Q00000X
Family Medicine Physician
22203
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
01/26/2006
Last updated
01/26/2011
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