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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOMINICK MICHAEL HANSEN

Active Sole Proprietor

MR. DOMINICK MICHAEL HANSEN is a Student (Health Education/Training) healthcare provider located in POUND, Wisconsin. NPI 1649707498 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · POUND, WI

Registration Details

NPI Number
1649707498
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2017 (9.2832027927137 yrs)
Last Updated
May 11, 2017
Sole Proprietor
Yes

Practice Information

Address
13188 LAKEVIEW CT
POUND, WI, 541618818
Browse WI providers · Browse ZIP 54161
Phone
9203732836
Primary Specialty
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.