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Individual

KURT L HANSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 762-6117
Mailing address
610 30TH AVE WEST, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38699
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179823500
MN
01
340014966
RR MEDICARE
MN
Enumeration date
01/18/2006
Last updated
08/29/2025
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