Michael William Hansen, MS

NPI #1194467514 in Wilton, California

Provider Information

NPI Number: 1194467514
Entity Type: Individual
Name: Michael William Hansen, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS
Enumeration Date: Apr 7, 2022
Last Updated: Apr 7, 2022

Practice Location

Address: 11000 MANN RD
City: Wilton
State: California
ZIP Code: 95693-9752
Phone: (916) 690-5702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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