Individual
KRISTEN O HANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 283-3162
(866) 991-7241
Mailing address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 283-3162
(866) 991-7241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38879
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38879
MEDICAL LICENSE
MN
05
—
961329300
—
MN
Enumeration date
07/20/2005
Last updated
08/16/2019
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