Individual
MATTHEW MORRIS HANSMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 CHIPPEWA MALL DR STE 418, CHIPPEWA FALLS, WI 54729-5047
(715) 720-3780
Mailing address
4190 LOBERG AVE, DULUTH, MN 55811-2652
(218) 249-5700
(218) 249-4666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55302
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0100273
MEDICA
—
01
—
1396036893
BCBS
MN
05
—
1396036893
—
MN
01
—
P01099799
RR MEDICARE
MN
Enumeration date
05/02/2011
Last updated
06/27/2022
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