Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dwayne M. Hansen MD PLLC

Organization Surgery Physician · NPI 1114024650

Dwayne M. Hansen MD PLLC is a Surgery Physician in Rexburg, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

381 E 4th North St Ste 100
Rexburg, ID 83440
Phone: (208) 656-8442
Fax: (208) 656-8453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114024650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Hansen — Owner · (208) 656-8442
NPI enumeratedSeptember 19, 2006
Last updated in NPPESDecember 6, 2007
Mailing addressPo Box 185, Rexburg, ID 83440-0185

Other providers in Rexburg