Individual
MR. BRUCE M HANSEN
Active
Individual
MR. BRUCE M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02003137A
IN
207L00000X
Anesthesiology Physician
9528888-1204
UT
207L00000X
Anesthesiology Physician
Primary
O-0636
ID
Other
Enumeration date
05/06/2008
Last updated
11/03/2025
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