Individual
MICHAEL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15052 GLEASON PATH STE 104, APPLE VALLEY, MN 55124-7199
(952) 432-5889
(952) 432-1878
Mailing address
106 PIONEER TRL, CHASKA, MN 55318-1167
(952) 368-2325
(952) 368-2328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3612
MN
Other
Enumeration date
05/24/2019
Last updated
11/14/2023
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