Individual
MR. CHAD LARRY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7203
MN
225100000X
Physical Therapist
1046
ND
225100000X
Physical Therapist
7203
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2007
Last updated
10/26/2020
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