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Individual

MR. DENNIS D HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
306 NORTH MILL STREET, FERTILE, MN 56540-0555
(218) 945-3220
(218) 945-3220
Mailing address
PO BOX 555, 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
BCND
ND
01
1H004HA
BCBS
MN
05
665228000
MN
Enumeration date
06/27/2006
Last updated
03/03/2010
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