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NPI Code Detail

MEDICARE: SCOTT M HANSFIELD MD

MEDICARE: SCOTT M HANSFIELD 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
1207V00000XObstetrics & Gynecology Physician45796WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00055729OTHERWIRAILROAD MEDICARE

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 : 1982695326
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT M HANSFIELD MD
Provider Business Mailing Address
First Line : 420 E DIVISION ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-4560
Country : US
Telephone Number : 920-926-8340
Fax Number : 920-926-8370
Provider Business Practice Location Address
First Line : 608 W BROWN ST
Second Line :
City : WAUPUN
State : WI
Zip : 53963-1788
Country : US
Telephone Number : 920-324-6803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 11/11/2020

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Directions to “ SCOTT M HANSFIELD MD” Practice Location

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