Individual
STEVEN FREDRICK HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 SOUTH GIBSON, MEDFORD, WI 54451
(715) 748-8100
(715) 748-7590
Mailing address
135 SOUTH GIBSON STREET, MEDFORD, WI 54451
(715) 748-8100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30403
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31528900
—
WI
01
—
80107
SECURITY HEALTH
WI
Enumeration date
12/29/2005
Last updated
05/14/2012
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