Individual
BRADY W HANQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1101 N 10TH ST, BEATRICE, NE 68310-2001
(402) 228-3436
(402) 223-4515
Mailing address
1101 N 10TH ST, BEATRICE, NE 68310-2001
(402) 228-3436
(402) 223-4515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1470
NE
Other
Enumeration date
10/14/2009
Last updated
09/15/2011
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