JEROME J HANSEN

WAUSAU, WI
NPI1851442917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5000305)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Dr. JEROME J HANSEN DDS
2800 WESTHILL DR # S-104
WAUSAU, WI 54401-3771
Phone number: 715-845-5459
Mailing Address
Dr. JEROME J HANSEN DDS
2800 WESTHILL DR # S-104
WAUSAU, WI 54401-3771
Phone number: 715-845-5459