Chris J. Hansen, Dds, Sc | |
1415 North 8th Street Manitowoc WI 54220-2051 | |
(920) 684-0123 | |
(920) 682-7374 |
Full Name | Chris J. Hansen, Dds, Sc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1415 North 8th Street, Manitowoc, Wisconsin |
Authorized Official Name and Position | Cheri Ertman (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9206840123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chris J. Hansen, Dds, Sc 1415 North 8th Street Manitowoc WI 54220-2051 Ph: (920) 684-0123 | Chris J. Hansen, Dds, Sc 1415 North 8th Street Manitowoc WI 54220-2051 Ph: (920) 684-0123 |
NPI Number | 1871603498 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871603498 | NPI | - | NPPES |
38394200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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