Individual
AARON J HANESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36942
WI
207Q00000X
Family Medicine Physician
40948
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32291600
—
WI
Enumeration date
06/20/2005
Last updated
03/28/2025
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