Individual
ERIC S HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57287-21
WI
207P00000X
Emergency Medicine Physician
Primary
H77833
MD
Other
Enumeration date
04/07/2010
Last updated
05/11/2017
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