Mildred S Hanson MD PA

NPI #1184822330 in Minneapolis, Minnesota

Provider Information

NPI Number: 1184822330
Entity Type: Organization
Organization Name: Mildred S Hanson MD PA
Primary Specialty: Specialist
Enumeration Date: Jul 10, 2007
Last Updated: Sep 12, 2017

Practice Location

Address: 710 E 24TH ST STE 403
City: Minneapolis
State: Minnesota
ZIP Code: 55404-3827
Phone: (612) 870-1334

Authorized Official

Name: DR. MARILEE A HANSON, MD
Title: OWNER
Phone: (612) 870-1334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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