Individual
STEPHANIE ALLYCE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
11030 N PORT WASHINGTON RD, MEQUON, WI 53092-5009
(262) 240-0288
(262) 240-0503
Mailing address
W57N709 HAWTHORNE AVE APT 3, CEDARBURG, WI 53012-1460
(414) 940-4024
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1496-60
WI
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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