MARK J HANSEN MD

Dr MARK J HANSEN MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1987 from Medical College Of Wisconsin.

Contact

555 PROSPECT AVE
ESTES PARK
CO
805176312

Tel: 9705862317

MARK J HANSEN MD Information

Npi 1215923842
Pac Id 9537193628
Professional Enrollment Id I20050919000500
Last Name HANSEN
First Name MARK
Middle Name J
Suffix
Gender M
Credential MD
Medical School Name MEDICAL COLLEGE OF WISCONSIN
Graduation Year 1987
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 555 PROSPECT AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ESTES PARK
State CO
Zip Code 805176312
Phone Number 9705862317
Hospital Affiliation Ccn 1 061312
Hospital Affiliation Lbn 1 ESTES PARK MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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