Individual
WAYNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 S OHIO ST, PRAIRIE DU CHIEN, WI 53821-1642
(608) 326-8458
Mailing address
110 S OHIO ST, PRAIRIE DU CHIEN, WI 53821-1642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001805-015
WI
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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