Individual
INGRID ANN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 17TH AVE, GRAFTON, WI 53024-2004
(262) 618-0717
Mailing address
5905 N LYDELL AVE UNIT 235, GLENDALE, WI 53217-4587
(920) 393-0923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001798
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
02/14/2025
Last updated
05/19/2025
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