Individual
THOMAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19009
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168740
—
IA
Enumeration date
01/12/2006
Last updated
02/01/2012
Update your record
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