Individual
CHAD MICHAEL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
405 E MAIN STREET, BLOOMING PRAIRIE, MN 55917
(507) 583-2141
(507) 583-7574
Mailing address
405 E MAIN STREET, PO BOX 3037, BLOOMING PRAIRIE, MN 55917
(507) 583-2141
(507) 583-7574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11642
MN
Other
Enumeration date
02/14/2006
Last updated
07/13/2026
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