Individual
JEFFREY NIELS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1400
Mailing address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.008292
OH
Other
Enumeration date
05/01/2008
Last updated
11/01/2017
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