Individual
GAIL J HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25835
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106275
MEDICA
—
01
—
27G35HA
BLUE CROSS MN FACILITY
MN
05
—
30425900
—
WI
01
—
64Q27HA
BLUE CROSS MN PRO FEE
MN
01
—
HP10551
HEALTHPARTNERS
—
01
—
NA9030224006
PREFERREDONE
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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