Individual
ROLF H HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 887-3102
(920) 855-8790
Mailing address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 887-3102
(920) 855-8790
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
865025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821199449
—
WI
Enumeration date
09/26/2006
Last updated
03/01/2021
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