Individual
MADISON ELIZABETH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1540 E HOSPITAL DRIVE, CW 12-525, SPC 4280, ANN ARBOR, MI 48109-4280
(734) 615-7845
Mailing address
1540 E HOSPITAL DRIVE, CW 12-525, SPC 4280, ANN ARBOR, MI 48109-4280
(734) 615-7845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351049605
MI
208000000X
Pediatrics Physician
4351049605
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301516690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4351049605
STATE MEDICAL LICENSE
MI
Enumeration date
06/07/2022
Last updated
07/07/2026
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