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Individual

MATTHEW HANSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 479-6603
Mailing address
2025 SOQUEL AVENUE, SANTA CRUZ, CA 95062-1323
(831) 458-6603

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A83396
CA

Other

Enumeration date
01/18/2006
Last updated
11/23/2011
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