Organization
DR. GREG HANSEN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG HANSEN (PRESIDENT)
(563) 582-3173
Entity
Organization
Contact information
Practice address
4200 DODGE ST, DUBUQUE, IA 52003-2624
(563) 582-3173
Mailing address
4200 DODGE ST, DUBUQUE, IA 52003-2624
(563) 582-3173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1941 AND 2010
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487616736
NPI FOR GREG
IA
Enumeration date
02/27/2007
Last updated
08/22/2020
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