Individual
DR. GREGORY G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 WEST 6TH STREET, STORM LAKE, IA 50588
(712) 732-3377
Mailing address
217 WEST 6TH STREET, STORM LAKE, IA 50588
(712) 732-3377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06482
IA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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