# SUZANNE HANSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740203538
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01059112A | IN | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 11/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000329517 | ANTHEM | IN |
| 01 | — | P00241909 | RR MEDICARE | IN |