Individual
DR. CHARLES JOHN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
Mailing address
3048 WAUNONA WAY, MADISON, WI 53713-2272
(765) 438-1611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82323-20
WI
Other
Enumeration date
06/15/2018
Last updated
08/26/2024
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