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1760551857
MARK H HANSON
GREEN BAY, WI
NPI
1760551857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 5446 015)
Enumeration Date
2006-11-06
Last Update Date
2015-12-09
Business Address
Dr. MARK H HANSON DDS MS
2000 SHADY LANE
GREEN BAY, WI 54313-9311
Phone number: 920-499-3721
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Mailing Address
Dr. MARK H HANSON DDS MS
2000 SHADY LANE
GREEN BAY, WI 54313-9311
Phone number: 920-499-3721
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