Individual
NICHOLAS AIDAN HANSEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
3365 COLTON DR UNIT A, HELENA, MT 59602-0265
(406) 438-1455
Mailing address
3365 COLTON DR UNIT A, HELENA, MT 59602-0265
(406) 438-1455
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
28511
MT
Other
Enumeration date
09/05/2024
Last updated
09/26/2024
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