Individual
CARL WILLIAM HANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01029310A
IN
207ND0101X
MOHS-Micrographic Surgery Physician
18628
IA
207ND0900X
Dermatopathology Physician
01029310A
IN
207NS0135X
Procedural Dermatology Physician
01029310A
IN
207NS0135X
Procedural Dermatology Physician
18628
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735829
—
IA
05
—
10062850A
—
IN
01
—
10702
WELLMARK BCBS
IA
Enumeration date
06/20/2006
Last updated
07/24/2023
Update your record
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