MR. Michael Hansen, CST

NPI #1134678790 in Normal, Illinois

Provider Information

NPI Number
1134678790
Entity Type
Individual
Name
MR. Michael Hansen, CST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Technologist
Credential
CST
Enumeration Date
Sep 23, 2016
Last Updated
Sep 23, 2016

Practice Location

Address
1604 VISA DR
Address 2
STE 1
City
Normal
ZIP Code
61761
Phone
(309) 846-4716

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical TechnologistSurgical Technologist

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