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NPI Code Detail

MEDICARE: PATRICK THOMAS HANGGE M.D.

MEDICARE: PATRICK THOMAS HANGGE M.D.
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
1208600000XSurgery Physician76723-20WI
22086X0206XSurgical Oncology Physician76723WI
3208600000XSurgery Physician74575MN

General Provider Information

NPI Number : 1316324965
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK THOMAS HANGGE M.D.
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-955-1400
Fax Number : 414-955-0197
Provider Business Practice Location Address
First Line : 920 E 28TH ST STE 460
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1286
Country : US
Telephone Number : 612-863-7770
Fax Number : 612-863-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 09/26/2023

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