Individual
DAVID C HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47046
WI
208M00000X
Hospitalist Physician
Primary
47046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43515800
—
WI
Enumeration date
12/19/2005
Last updated
06/23/2025
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