Individual
DANIELLE M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5535 PEACH ST FL 1, ERIE, PA 16509-2603
(814) 868-3488
(814) 868-3499
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS014134
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS014134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021271280015
—
PA
Enumeration date
05/01/2008
Last updated
04/19/2023
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