Individual
DR. CONRAD GEORG HANSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3642 CAMINO DE LAS LOMAS, VISTA, CA 92084
(760) 707-7286
(866) 886-8914
Mailing address
3642 CAMINO DE LAS LOMAS, VISTA, CA 92084-6639
(760) 707-7286
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41398-020
WI
207P00000X
Emergency Medicine Physician
45341
MN
207P00000X
Emergency Medicine Physician
A87958
CA
207Q00000X
Family Medicine Physician
41398-020
WI
207Q00000X
Family Medicine Physician
Primary
45341
MN
207Q00000X
Family Medicine Physician
A87958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34066900
—
WI
Enumeration date
06/09/2006
Last updated
03/25/2020
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