Individual
MR. RONALD E HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 989-2745
Mailing address
W12444 IVERSON RD, WHITEHALL, WI 54773-8907
(715) 983-2143
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
73950-30
WI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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