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Individual
MELINDA C HANSEN
Active
Individual
MELINDA C HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415570
—
IA
01
—
09741
WELLMARK, ANKENY OFFICE
IA
01
—
35887
WELLMARK BLUE SHIELD
IA
Enumeration date
06/13/2005
Last updated
10/31/2007
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