Hansen Neuropsychiatric Clinic PA
NPI #1154598878 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1154598878
- Entity Type
- Organization
- Organization Name
- Hansen Neuropsychiatric Clinic PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 4601 EXCELSIOR BLVD
- Address 2
- SUITE 300
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4960
- Phone
- (952) 920-6100
Authorized Official
- Name
- DR. CARL R HANSEN JR., M.D.
- Title
- PRESIDENT
- Phone
- (952) 920-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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