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DWAYNE M. HANSEN MD PLLC NPI 1114024650


NPI Information

NPI: 1114024650
Provider Name: DWAYNE M. HANSEN MD PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
381 EAST 4TH NORTH STREET
SUITE 100
REXBURG, ID
ZIP 83440
Phone: (208) 656-8442
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DWAYNE M. HANSEN MD PLLC is a surgery in Rexburg, ID. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DWAYNE M. HANSEN MD PLLC NPI is 1114024650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

381 EAST 4TH NORTH STREET
SUITE 100
REXBURG, ID
ZIP 83440
Phone: (208) 656-8442
Fax: (208) 656-8453

The provider's authorized official is Dwayne M. Hansen .
The authorized official title is Owner and has the following contact phone number (208) 656-8442.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 12/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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