Individual
DR. VINCENT J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 SOUTH CESAR E CHAVEZ DR., MILWAUKEE, WI 53204-2266
(414) 645-4540
Mailing address
1135 SOUTH CESAR E CHAVEZ DR.., MILWAUKEE, WI 53204-2266
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12011501A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6972-15
WI
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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