Michael Wayne Hansen, OD
NPI #1669465035 in Redondo Beach, California
Provider Information
- NPI Number
- 1669465035
- Entity Type
- Individual
- Name
- Michael Wayne Hansen, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Sep 5, 2014
Practice Location
- Address
- 310 AVENUE I
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5601
- Phone
- (310) 373-3191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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