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

Mr. Michael Hansen, CST

Individual provider Surgical Technologist · NPI 1134678790

Mr. Michael Hansen, CST is a Surgical Technologist in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

1604 Visa Dr Ste 1
Normal, IL 61761
Phone: (309) 846-4716
Fax: (309) 454-7348
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 238.000.498 (IL)

Record details

NPI number1134678790
Entity typeIndividual (Type 1)
GenderMale
Credentials CST
Sole proprietorNo
NPI enumeratedSeptember 23, 2016
Last updated in NPPESSeptember 23, 2016
Mailing address1604 Visa Dr, Ste 1, Normal, IL 61761

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