Individual
DR. ANDREW JOHN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16100 VAN AKEN BLVD, UNIT 202, SHAKER HEIGHTS, OH 44120-5385
(530) 400-6371
Mailing address
16100 VAN AKEN BLVD, UNIT 202, SHAKER HEIGHTS, OH 44120-5385
(530) 400-6371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.011337
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2011
Last updated
12/17/2021
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