Individual
TODD DAVID HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1601 89TH AVE N, BROOKLYN PARK, MN 55444-1233
(612) 615-3997
Mailing address
1601 89TH AVE N, BROOKLYN PARK, MN 55444-1233
(612) 615-3997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1207048
MN
Other
Enumeration date
09/29/2018
Last updated
09/29/2018
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