Individual
DR. JAMES W HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2133-035
WI
152W00000X
Optometrist
4901003096
MI
Other
Enumeration date
08/23/2006
Last updated
12/01/2021
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