Individual
THOMAS DUTCH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
PO BOX 1309, MS21110Q, MINNEAPOLIS, MN 55440-1309
(952) 993-8700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59415
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/14/2014
Last updated
07/21/2022
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