DR. Reid H. Hansen, M.D.

NPI #1861490260 in Peoria, Illinois

Provider Information

NPI Number: 1861490260
Entity Type: Individual
Name: DR. Reid H. Hansen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jul 9, 2005
Last Updated: Nov 24, 2009

Practice Location

Address: 900 MAIN ST
Address 2: SUITE 500
City: Peoria
State: Illinois
ZIP Code: 61602-1005
Phone: (309) 637-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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