Provider Demographics
NPI:1124581079
Name:WANGSNESS, HANS ERIK
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:ERIK
Last Name:WANGSNESS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W SPROUL RD STE 122
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-604-0734
Mailing Address - Fax:610-604-0846
Practice Address - Street 1:100 W SPROUL RD STE 122
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2033
Practice Address - Country:US
Practice Address - Phone:610-604-0734
Practice Address - Fax:610-604-0846
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC007041213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery