DR. Michael Jude Hansen, DDS

NPI #1134298433 in Cedarburg, Wisconsin

Provider Information

NPI Number: 1134298433
Entity Type: Individual
Name: DR. Michael Jude Hansen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: N57 W6296 CENTER STREET
City: Cedarburg
State: Wisconsin
ZIP Code: 53012
Phone: (262) 377-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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