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NPI 1376581546

IndividualActive

Dwayne Hansen, M.D.

NPI 1376581546 · Surgery Physician · Rexburg, ID

Provider details

NPI number: 1376581546
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
License: M8427 (ID)

Practice location

381 East 4th North

Ste 100

Rexburg, ID 83440

Phone: (208) 656-8442

Fax: (208) 656-8453

More ID providers

Mailing address

Po Box 185

Rexburg, ID 83440-0185

Registry dates

Enumerated: 2006-06-02
Last updated: 2023-03-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dwayne Hansen, M.D. — NPI 1376581546, Rexburg, ID | NPI Central