Individual
DR. CODY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2114 SCHOFIELD AVE, WESTON, WI 54476-2365
(715) 355-4224
(715) 355-4120
Mailing address
2114 SCHOFIELD AVE, WESTON, WI 54476-2365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5274
WI
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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