Organization
MICHAEL HANSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M LATHAM (CREDENTIALING MANAGER)
(937) 309-3017
Entity
Organization
Contact information
Practice address
1325 E KEMPER RD STE 200, CINCINNATI, OH 45246-3946
(937) 217-9330
(513) 718-4729
Mailing address
1205 CASSEL RUN RD, BLUE CREEK, OH 45616-9759
(937) 309-3017
(833) 743-5214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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