Individual
CALVIN J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4200
(515) 241-4083
Mailing address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4200
(515) 241-4083
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD-29958
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130010229
RR MEDICARE
IA
05
—
1639157373
—
IA
05
—
3110445
—
IA
05
—
5110445
—
IA
Enumeration date
01/04/2006
Last updated
02/27/2015
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