# DR. MARINA GERALDINE HANSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043885429
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-143283 | MT | Yes |

## Other

- **Enumeration date:** 05/26/2021
- **Last updated:** 08/13/2024