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Individual

DR. MICHELLE MARIE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(509) 838-8561
(509) 835-4058
Mailing address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(509) 838-8561
(509) 835-4058

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00035386
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8406381
WA
Enumeration date
03/17/2006
Last updated
10/19/2007
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