Individual
DR. MICHAEL D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1328 W 23RD ST, PANAMA CITY, FL 32405
(850) 785-7273
(850) 785-5399
Mailing address
1328 W 23RD ST, PANAMA CITY, FL 32405
(850) 785-7273
(850) 785-5399
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0010297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075200200
—
FL
Enumeration date
08/01/2006
Last updated
04/05/2012
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