# DR. JEFFREY JOJO HANSON

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

## Provider details

- **NPI number:** 1417577487
- **Gender:** Man
- **Credential:** MD, PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 5302041500 | MI | — |
| 207R00000X | Internal Medicine Physician | 036-164289 | IL | Yes |
| 208D00000X | General Practice Physician | 70435 | MN | — |

## Other

- **Enumeration date:** 04/20/2020
- **Last updated:** 09/28/2023