Individual
DR. KIRK HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-6902
(262) 369-6922
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11016285A
IN
207Q00000X
Family Medicine Physician
Primary
62860
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040118
—
WI
Enumeration date
08/08/2011
Last updated
12/11/2023
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