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Individual

THOMAS BRIAN HANSETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
303 BAY PARK SQ, SPACE 976, GREEN BAY, WI 54304-5104
(920) 497-8399
(920) 497-7894
Mailing address
445 S MAIN ST, SEYMOUR, WI 54165-1433
(920) 833-9613

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2302-035
WI

Other

Enumeration date
09/17/2006
Last updated
07/08/2007
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