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Individual

DR. MICHAEL A. HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1540 LAKE ELMO DR, SUITE 1, BILLINGS, MT 59105-1797
(406) 245-2299
(406) 245-8302
Mailing address
1540 LAKE ELMO DR, SUITE 1, BILLINGS, MT 59105-1797
(406) 245-2299
(406) 245-8302

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
419
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0482851
MT
01
26350
BCBS OF MT
MT
01
4892790001
MEDICARE DME
MT
01
MT0419
EYEMED VISION CARE
MT
01
P00040225
RAILROAD MEDICARE
MT
Enumeration date
01/18/2007
Last updated
01/11/2011
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