Organization
CRAIG K. HANSEN
Active
Other names
Creekside Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG K HANSEN M.D. (OWNER)
(605) 348-1208
Entity
Organization
Contact information
Practice address
2620 JACKSON BLVD, SUITE C, RAPID CITY, SD 57702-3478
(605) 341-1208
(605) 341-3552
Mailing address
2620 JACKSON BLVD, SUITE C, RAPID CITY, SD 57702-3478
(605) 341-1208
(605) 341-3552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
01/07/2008
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