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Individual

CHRIS JOHN HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, FAGD

Contact information

Practice address
1415 NORTH 8TH STREET, MANITOWOC, WI 54220-2051
(920) 684-0123
(920) 682-7374
Mailing address
1415 NORTH 8TH STREET, MANITOWOC, WI 54220-2051
(920) 684-0123
(920) 682-7374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI3184
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33456500
WI
Enumeration date
08/25/2006
Last updated
07/08/2007
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