Individual
RYAN THOMAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10787 MINNIE AVE, HAYWARD, WI 54843
(715) 934-3344
(715) 934-3344
Mailing address
10787 MINNIE AVE, HAYWARD, WI 54843
(715) 934-3344
(715) 934-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3909012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38943100
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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