IndividualActive
Douglas Hansen, M.D.
NPI 1124061619 · Anatomic Pathology & Clinical Pathology Physician · Manitowoc, WI
Provider details
- NPI number
- 1124061619
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 74455-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
801 York St
Manitowoc, WI 54220-4630
Phone: (920) 663-9008
Fax: (920) 684-1439
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Additional practice locations (1)
- 11211 120th Ave Ste A009bPleasant Prairie, WI 53158-1703Phone: (262) 283-5333Fax: (262) 912-0137
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2023-02-13
- Certified
- 2023-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.