Individual
DR. MARK H HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2000 SHADY LANE, GREEN BAY, WI 54313-9311
(920) 499-3721
(920) 499-7502
Mailing address
2000 SHADY LANE, GREEN BAY, WI 54313-9311
(920) 499-3721
(920) 499-7502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5446 015
WI
Other
Enumeration date
11/06/2006
Last updated
12/09/2015
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