Individual provider · Type 1 NPI
Dominick Michael Hansen
Student in an Organized Health Care Education/Training Program · Pound, WI
NPI number
1649707498
Active
Practice location
13188 Lakeview Ct
Pound, WI 54161-8818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1649707498
Dominick Michael Hansen's National Provider Identifier is 1649707498, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pound, WI. The record was last updated on May 11, 2017.