DWAYNE M. HANSEN MD PLLC

Surgery

Active Organization
NPI: 1114024650

Practice Address

381 EAST 4TH NORTH STREET
SUITE 100
Rexburg, ID 83440

Phone: (208) 656-8442

Specialties

Specialty Code Primary License
Surgery 208600000X Yes -

Frequently Asked Questions

NPI 1114024650 is the National Provider Identifier for DWAYNE M. HANSEN MD PLLC, a Surgery provider located in Rexburg, ID. This NPI was enumerated on September 19, 2006.

Quick Facts

NPI
1114024650
Type
Organization
Enumerated
Sep 19, 2006
Last Updated
Dec 6, 2007

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