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Individual

DR. MELISSA L HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7231 SUNWOOD DR NW, RAMSEY, MN 55303-5190
(763) 236-0000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
256033
NY
208000000X
Pediatrics Physician
Primary
61457
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02995513
NY
Enumeration date
03/19/2007
Last updated
10/14/2017
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