Individual
DOUGLAS A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
201 S WATER ST, SPARTA, WI 54656-1724
(608) 269-2949
(608) 269-3330
Mailing address
201 S WATER ST, SPARTA, WI 54656-1724
(608) 269-2949
(608) 269-3330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15587-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33296600
—
WI
Enumeration date
08/03/2009
Last updated
08/03/2009
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