Individual
MR. HANS FORMUM ENOW I
Active
Individual
MR. HANS FORMUM ENOW I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R214735
MD
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
NP1062922
DC
Other
Enumeration date
02/13/2020
Last updated
12/09/2022
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