| Doctor Name: | ROGER VIKE HANSEN |
| NPI Number: | 1841290996 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO PHD |
| License Number: | 3182 |
| Business Practice Address: | 319 E Main St Panora, IA - 502161064 |
| Business Phone Number: | 6417552121 |
| Business Fax Number: | 6417552314 |
| Mailing Address: | Po Box 1475, DES MOINES |
| State: | IA |
| Postal Code: | 503061475 |
| Phone Number: | 5156434973 |
| Fax Number: | 5156432784 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 09/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3182 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |