REID HANSEN M.D. NPI 1184895765

NPI Information

REID HANSEN, M.D. is a plastic and reconstructive surgery surgery in Peoria, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. REID HANSEN, M.D. NPI is 1184895765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 MAIN ST
SUITE 500
PEORIA, IL
ZIP 61602-005
Phone: (309) 637-3500

The provider's authorized official is Reid Herman Hansen .
The authorized official title is Owner and has the following contact phone number (309) 637-3500.

The enumeration date for this NPI number is 3/21/2008 and was last updated on 3/21/2008.

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:

Other Identifiers

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