Female

Rita M. Hanson MD

Internal Medicine Physician in Brookfield, WI(View on Map)

Full Name

Rita Marie Hanson MD

NPI Number

1629135306

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/02/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

20894

Contact
Information

Purpose

Mailing
Location

Address

13950 W CAPITOL DR
13950 W CAPITOL DR

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-2441
53005-2441

Country

US
US

Telephone Number

(414) 302-5404
(414) 302-5404

Identifiers

Identifier

30266500
3908168571A4

Identifier State

WI
Unknown

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/30/2010

Provider Address

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