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Individual

DR. EWA M HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3740 W SYLVANIA AVE, STE 250, TOLEDO, OH 43623-4493
(419) 473-6670
(419) 473-9959
Mailing address
3740 W SYLVANIA AVE, STE 250, TOLEDO, OH 43623-4493
(419) 473-6670
(419) 473-9959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35045807
OH
208000000X
Pediatrics Physician
4301061029
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0760823
OH
05
103136049
MI
Enumeration date
05/23/2005
Last updated
02/10/2017
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