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

Dr. Douglas Alan Hansen, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1124061619

Dr. Douglas Alan Hansen, MD is a Dermatology in Manitowoc, Wisconsin. Graduated from University of Washington School of Medicine in 1993, 33 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Oregon, Washington and Wisconsin.

Years since qualifying
33
Trained at
University of Washington School of Medicine
Licensed in
FL, OR, WA, WI
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 York St
Manitowoc, WI 54220-4630
Phone: (920) 663-9008
Fax: (920) 684-1439
Show map & directions

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

Additional practice locations (1)

  • 11211 120th Ave Ste A009b, Pleasant Prairie, WI 53158-1703 — (262) 283-5333

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 74455-20 (WI)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 74455-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME122758 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD21809 (OR)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 74455-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD00034088 (WA)

Record details

NPI number1124061619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 7, 2023
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manitowoc