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Individual

DR. CRAIG L HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1260 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(402) 609-3000
(402) 609-3808
Mailing address
1260 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(402) 609-3000
(402) 609-3808

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22247
NE
207X00000X
Orthopaedic Surgery Physician
Primary
MD-34632
IA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
22247
NE
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD-34632
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1266114
IA
01
31117
WELLMARK - BCBS IA
IA
05
3266114
IA
05
4266114
IA
05
5266114
IA
Enumeration date
08/19/2005
Last updated
11/04/2024
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