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Organization
HANSON CHIROPRACTIC CLINIC PA
Active
Organization
HANSON CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS D HANSON DC (CHIROPRACTOR PRESIDENT)
(218) 945-3220
Entity
Organization
Contact information
Practice address
306 NORTH MILL STREET, FERTILE, MN 56540-0555
(218) 945-3220
(218) 945-3220
Mailing address
306 NORTH MILL STREET, FERTILE, MN 56540-0555
(218) 945-3220
(218) 945-3220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2832
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19806
BC OF NORTH DAKOTA
ND
01
—
1H004HA
BCBS
MN
Enumeration date
06/24/2006
Last updated
08/22/2020
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