NPI 1215612676

Tyler David Hansen, DO

Practitioner Emergency Medicine Physician Wausau, WI

Practice location

Address: 333 Pine Ridge Blvd, Wausau, WI 54401-4187
Phone: (715) 847-2121

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 82167-21 (WI)

Other Emergency Medicine providers in Wisconsin →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence R-12983 (IA)

Registry record

NPI: 1215612676
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2023
Record last updated: 1 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.