National Provider Identifier
Wilhelm Gustav Hansen, M.D.
Wilhelm Gustav Hansen, M.D. is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Family Medicine) Physician in Ithaca, NY and a listed phone number of (607) 273-2643.
Profile Overview
- NPI
- 1154586295
- Provider Type
- Individual
- Primary Specialty
- Geriatric Medicine (Family Medicine) Physician
- Enumeration Date
- July 28, 2008
- Last Updated
- July 28, 2008
Practice Location
- 1013 Hector St
- Ithaca, NY 14850-2037
Phone: (607) 273-2643
Specialties
- Geriatric Medicine (Family Medicine) Physician (207QG0300X)
Full Record
- NPI
- 1154586295
- Entity Type
- Individual
- Last Name
- Hansen
- First Name
- Wilhelm
- Middle Name
- Gustav
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1013 Hector St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2037
- Mailing Country
- US
- Mailing Phone
- (607) 273-2643
- Practice Street Address
- 1013 Hector St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2037
- Practice Country
- US
- Practice Phone
- (607) 273-2643
- Enumeration Date
- July 28, 2008
- Last Updated
- July 28, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Geriatric Medicine (Family Medicine) Physician (207QG0300X)