Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DWAYNE MAXWELL HANSEN JR., DO
Active Sole ProprietorDR. DWAYNE MAXWELL HANSEN JR., DO is a General Surgery healthcare provider located in REXBURG, Idaho. NPI 1871013938 is currently active in the NPPES registry. Verify at CMS.
General Surgery · REXBURG, ID
Registration Details
- NPI Number
- 1871013938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2017 (9.15626317781 yrs)
- Last Updated
- Jun 11, 2025
- Licenses
-
RL14661 (ND)O-1663 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
381 E 4TH N STE 100REXBURG, ID, 834401684Browse ID providers · Browse ZIP 83440
- Phone
- 2086568442
- Fax
- 2086568453
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DWAYNE M HANSEN | M.D. | 1376581546 |
| DR. ROBERT LOUIS CORAY | M.D. | 1104938182 |
| DR. BRIAN WADE CHRISTENSEN | M.D. | 1811022056 |
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.