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Individual

DR. ERNEST CHARLES HANSEN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 646-5189
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
020857
LA
207P00000X
Emergency Medicine Physician
Primary
MD.020857
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00123080
MS
05
1656577
LA
Enumeration date
06/13/2006
Last updated
11/08/2011
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