Individual provider · Type 1 NPI

Dwayne Maxwell Hansen Jr., DO

Surgery Physician · Rexburg, ID

NPI number 1871013938 Active

Practice location

381 E 4th N Ste 100
Rexburg, ID 83440-1684

Fax (208) 656-8453

Mailing address

PO Box 185
Rexburg, ID 83440-0185

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XRL14661 (ND)
Surgery Physician Primary 208600000XO-1663 (ID)

Surgery Physician: 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 increasin…

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About NPI 1871013938

Dwayne Maxwell Hansen Jr., DO's National Provider Identifier is 1871013938, issued on Jun 20, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Rexburg, ID. The record was last updated on Jun 11, 2025.