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Individual

DR. DUANE ANTHONY HANZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4800 MAINE ST, QUINCY, IL 62305-5875
(217) 214-3823
(217) 277-5596
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016-005009
IL
213ES0131X
Foot Surgery Podiatrist
2002006340
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005009
IL
01
068824
HEALTH ALLIANCE
IL
01
132005
BC/BS
IL
05
307352609
MO
01
475640
HEALTHLINK
IL
01
6450976001
CIGNA
IL
Enumeration date
10/24/2005
Last updated
04/25/2024
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