Richard Torben Hansen

NPI #1083188650 in Merrillville, Indiana

Provider Information

NPI Number: 1083188650
Entity Type: Individual
Name: Richard Torben Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 17, 2019
Last Updated: Jan 17, 2019

Practice Location

Address: 9001 BROADWAY
City: Merrillville
State: Indiana
ZIP Code: 46410-7041
Phone: (219) 795-3360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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