Search › Wisconsin › 1223X0400X
Mark Hanson, DDS MS
NPI 1760551857 · on the registry since 2006
Practice
- Address
- 2000 Shady Lane
Green Bay, WI 54313 - Phone
- (920) 499-3721
- Fax
- (920) 499-7502
- Organisation at this address
- Charles E. Montoure, Dds, Ms Mark H Hanson, Dds, Ms, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-09
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