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Individual
JOHN ALAN HANSEN JR.
Active
Individual
JOHN ALAN HANSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
3391
SD
208VP0000X
Pain Medicine Physician
Primary
3391
SD
208VP0014X
Interventional Pain Medicine Physician
3391
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6631100
—
SD
Enumeration date
06/27/2005
Last updated
03/11/2021
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