Individual
DR. MICHAEL JON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
73078-20
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
73078-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
01/28/2021
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