Mr. Dominick Michael Hansen
Mr. Dominick Michael Hansen is an Athletic Trainer in Pound, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
13188 Lakeview CtPound, WI 54161-8818
Phone: (920) 373-2836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1649707498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |