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Individual
DR. DUWAYNE ALLEN HANSEN
Active
Individual
DR. DUWAYNE ALLEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13394
MEDICA
MN
01
—
20512
SIOUX VALLEY
MN
05
—
39272300
—
MN
01
—
5T521HA
BCBS
MN
01
—
604587
ARAZ
MN
01
—
7302
AVERA
FM
05
—
959502
—
IA
01
—
A011
CHAMPUS
MN
01
—
HP29868
HEALTH PARTNERS
MN
01
—
MH9041000376
PPO
MN
Enumeration date
12/05/2005
Last updated
05/29/2012
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