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NPI Code Detail

MEDICARE: DR. DUANE ANTHONY HANZEL DPM

MEDICARE:  DR. DUANE ANTHONY HANZEL  DPM
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
1213ES0131XFoot Surgery Podiatrist2002006340MO
2213ES0131XFoot Surgery Podiatrist016-005009IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16450976001OTHERILCIGNA
2475640OTHERILHEALTHLINK
3068824OTHERILHEALTH ALLIANCE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5132005OTHERILBC/BS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467442251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUANE ANTHONY HANZEL DPM
Provider Business Mailing Address
First Line : 1005 BROADWAY ST
Second Line :
City : QUINCY
State : IL
Zip : 62301-2834
Country : US
Telephone Number : 217-223-8400
Fax Number :
Provider Business Practice Location Address
First Line : 4800 MAINE ST
Second Line :
City : QUINCY
State : IL
Zip : 62305-5875
Country : US
Telephone Number : 217-214-3823
Fax Number : 217-277-5596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 04/25/2024

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Directions to “ DR. DUANE ANTHONY HANZEL DPM” Practice Location

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