Individual
JAMES WAYNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
5600 SPRING PARK DR, EVANSVILLE, IN 47711-1838
(812) 454-5813
Mailing address
5600 SPRING PARK DR, EVANSVILLE, IN 47711-1838
(812) 454-5813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01030591A
IN
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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