Individual
DR. STEVEN P HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
111 N 5TH ST, DE PERE, WI 54115-2201
(920) 336-9355
(920) 336-9358
Mailing address
111 N 5TH ST, DE PERE, WI 54115-2201
(920) 336-9355
(920) 336-9358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3652-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38926100
—
WI
Enumeration date
11/30/2006
Last updated
07/08/2007
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