Individual
JOHN PIERRUS HANSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, STE 415, MILWAUKEE, WI 53215-3660
(414) 385-3086
(414) 672-1985
Mailing address
2901 W KINNICKINNIC RIVER PKWY, STE 516, MILWAUKEE, WI 53215-3660
(414) 385-3086
(414) 672-1985
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30917100
—
WI
Enumeration date
05/23/2005
Last updated
03/17/2008
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