| 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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