Individual
FLAVIA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 S 27TH ST, MILWAUKEE, WI 53215-4303
(414) 383-1522
(414) 383-1569
Mailing address
501 E ARTHUR DR, OAK CREEK, WI 53154-5103
(414) 430-6144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15455-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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