DR. Jesse Joe Hanisch, M.D., PH.D.

NPI #1497192785 in Festus, Missouri

Provider Information

NPI Number: 1497192785
Entity Type: Individual
Name: DR. Jesse Joe Hanisch, M.D., PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D., PH.D.
Enumeration Date: May 28, 2013
Last Updated: Nov 7, 2024

Practice Location

Address: 1400 US HIGHWAY 61 STE 310
City: Festus
State: Missouri
ZIP Code: 63028-4141
Phone: (636) 543-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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