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NPI Code Detail

MEDICARE: ROBERT G HANSEN MD

MEDICARE: ROBERT G HANSEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianM9169ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285623702
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT G HANSEN MD
Provider Business Mailing Address
First Line : 206 E ELM ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4815
Country : US
Telephone Number : 208-459-4511
Fax Number : 208-459-6602
Provider Business Practice Location Address
First Line : 206 E ELM ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4815
Country : US
Telephone Number : 208-459-4511
Fax Number : 208-459-6602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 03/23/2021

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