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Individual

MARSHA CORREEN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
W63N545 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 421-5133
Mailing address
7709 TOMAHAWK DR, WEST BEND, WI 53090-9089
(262) 483-2709

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5206-33
WI

Other

Enumeration date
10/04/2012
Last updated
04/18/2019
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