Individual
AUSTIN RAY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
1420 44TH AVE S, MOORHEAD, MN 56560-6887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2464878
MN
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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