Individual
ERIK D. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 684-6160
(612) 262-8766
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576998000
—
MN
Enumeration date
08/24/2006
Last updated
10/09/2024
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