Individual
SARAH C HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7977
(651) 254-7990
Mailing address
9200 W WISCONSIN AVE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10103
MN
363AS0400X
Surgical Physician Assistant
3464
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174581540
—
WI
Enumeration date
05/03/2006
Last updated
09/05/2024
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