Individual
ROSS STEWART HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
301 E 7TH ST, WAKEFIELD, NE 68784-5222
(402) 287-2267
Mailing address
301 E 7TH ST, WAKEFIELD, NE 68784-5222
(402) 287-2267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1450
NE
Other
Enumeration date
07/09/2009
Last updated
03/06/2017
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