DR. Michael A Hansen, DMD

NPI #1356511059 in Port Washington, Wisconsin

Provider Information

NPI Number: 1356511059
Entity Type: Individual
Name: DR. Michael A Hansen, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 10, 2008
Last Updated: Mar 10, 2008

Practice Location

Address: 428 W GRAND AVE
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2142
Phone: (262) 284-5231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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