Individual
DONALD A. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCCA
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41100100
—
WI
01
—
640001508
RAILROAD MEDICARE
WI
Enumeration date
07/11/2006
Last updated
01/03/2023
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