Individual
DR. TRAVIS D. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MADISON AVE, SUITE352, MANKATO, MN 56001-5473
(507) 625-1811
(507) 625-3928
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
#5696
SD
2084P0800X
Psychiatry Physician
56902
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
56902
MN
Other
Enumeration date
02/26/2007
Last updated
07/10/2020
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