Individual
DR. DALE A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 W ATHERTON RD, FLINT, MI 48507-5300
(810) 235-1102
(810) 235-9391
Mailing address
1515 W ATHERTON RD, FLINT, MI 48507-5300
(810) 235-1102
(810) 235-9391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301041283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3236062
—
MI
Enumeration date
09/02/2006
Last updated
09/22/2010
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