Peter Michael Hanson in Manitowoc - Dentist
Peter Michael Hanson - NPI 1689666232
Peter Michael Hanson is a Dentist in Manitowoc, Wisconsin. Peter Michael Hanson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Michael Hanson is 1689666232. The last update date is 2007-07-08.
Peter Michael Hanson's current location address is 1503 Randolph Ct, Manitowoc, Wisconsin. You can contact this provider via phone number 9206820321 and fax number 9206823128. The mailing address for Peter Michael Hanson is 1503 Randolph Ct, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Michael Hanson |
|---|---|
| Address | 1503 Randolph Ct, Manitowoc, Wisconsin |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689666232 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1503 Randolph Ct |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542208345 |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1679G |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33545500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Michael Hanson by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Michael Hanson has been assigned the NPI (National Provider Identifier) 1689666232. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Peter Michael Hanson?
The Peter Michael Hanson is situated at 1503 Randolph Ct, in the city of Manitowoc, state of WI, with the zip code 542208345.
What is the Peter Michael Hanson's specialty and taxonomy code?
The Peter Michael Hanson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689666232 to Peter Michael Hanson?
The Centers for Medicare & Medicaid Services assigned the 1689666232 to Peter Michael Hanson on 2005-08-19.
As of what date was the information regarding Peter Michael Hanson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter Michael Hanson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.