Individual
STEPHANIE M. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3515
Mailing address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1597
WI
208000000X
Pediatrics Physician
Primary
PT10964
ND
390200000X
Student in an Organized Health Care Education/Training Program
50095
WI
Other
Enumeration date
04/28/2006
Last updated
03/25/2022
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