Individual
DR. DENNETT JOHN HANSSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1621 OAK AVE STE B, DAVIS, CA 95616-1000
(916) 452-3030
Mailing address
1621 OAK AVE STE B, DAVIS, CA 95616-1000
(916) 452-3030
(530) 302-3383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-33144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7386517
—
CA
01
—
C-33144
MEDICAL LICENSE NUMBER
CA
Enumeration date
07/26/2006
Last updated
09/20/2024
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