Individual
SCOTT M HANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 324-6803
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45796
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34393100
—
WI
01
—
P00055729
RAILROAD MEDICARE
WI
Enumeration date
11/03/2005
Last updated
11/11/2020
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