DWAYNE MAXWELL HANSEN

REXBURG, ID
NPI1871013938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: ID  O-1663)
Additional Taxonomies208600000X Surgery
(Licence: ND  RL14661)
Enumeration Date2017-06-20
Last Update Date2025-06-11
Business Address
Dr. DWAYNE MAXWELL HANSEN DO
381 E 4TH N STE 100
REXBURG, ID 83440-1684
Phone number: 208-656-8442
Mailing Address
Dr. DWAYNE MAXWELL HANSEN DO
PO BOX 185
REXBURG, ID 83440-0185
Phone number: 208-656-8442
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