Individual
DENISE M HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
810 N BAIRD AVE, FERGUS FALLS, MN 56537-1617
(218) 736-5609
(218) 736-5600
Mailing address
810 N BAIRD AVE, FERGUS FALLS, MN 56537-1617
(218) 736-5609
(218) 736-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LD2736000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021893
PREFERRED ONE
MN
01
—
2201477
MEDICA
MN
01
—
282T0HA
BCBS
MN
05
—
60535
—
ND
05
—
670938900
—
MN
01
—
HAN892736
ND VISION SERVICE
ND
Enumeration date
10/26/2006
Last updated
01/13/2015
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