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Dominick Hansen
NPI 1649707498 · on the registry since 2017 · sole proprietor
Practice
- Address
- 13188 Lakeview Ct
Pound, WI 54161 - Phone
- (920) 373-2836
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Sex
- Male
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin