Individual
DR. BERNIE HP HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 MICKELSON DR., WATERTOWN, SD 57201-6827
(605) 599-7411
(605) 578-6021
Mailing address
1000 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 520-3528
(605) 578-6021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0963
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20521
SIOUX VALLEY HEALTH
—
05
—
6300052
—
SD
Enumeration date
07/14/2005
Last updated
09/12/2016
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