Max Hansen Surgery Pllc

NPI #1497403760 in Rexburg, Idaho

Provider Information

NPI Number
1497403760
Entity Type
Organization
Organization Name
Max Hansen Surgery Pllc
Primary Specialty
Surgery
Enumeration Date
Mar 15, 2022
Last Updated
Mar 15, 2022

Practice Location

Address
381 E 4TH N STE 100
State
Idaho
ZIP Code
83440-1684
Phone
(208) 656-8442

Authorized Official

Name
DWAYNE MAXWELL HANSEN JR., DO
Title
DOCTOR OF OSTEOPATH - SURGEON
Phone
(208) 656-8442

Specialties & Taxonomy Codes

Specialty
Surgery

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Provider Name
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Organizations

Provider Name
Dwayne M. Hansen MD PllcNewBizBotAI Deep Dive

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