Individual
CHARLES HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N 6TH ST, WAUSAU, WI 54403-5519
(715) 849-3344
Mailing address
1022 MANSON ST, WAUSAU, WI 54403-6537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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