DWAYNE MAXWELL HANSEN

GRAND FORKS, ND
NPI1871013938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: ND  RL14661)
Additional Taxonomies208600000X Surgery
(Licence: ID  O-1663)
Enumeration Date2017-06-20
Last Update Date2022-04-28
Business Address
Dr. DWAYNE MAXWELL HANSEN DO
1301 N COLUMBIA RD STOP 9037 UND DEPARTMENT OF SURGERY
GRAND FORKS, ND 58202-9037
Phone number: 701-777-3067
Mailing Address
Dr. DWAYNE MAXWELL HANSEN DO
1301 N. COLUMBIA RD STOP 9037 UND DEPARTMENT OF SURGERY
GRAND FORKS, ND 58202-9037
Phone number: 701-777-3067
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