Individual
NICHOLAS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 MILLER TRUNK HWY, DULUTH, MN 55811-5633
(218) 727-8157
Mailing address
1201 MILLER TRUNK HWY, DULUTH, MN 55811-5633
(218) 727-8157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119629
MN
183500000X
Pharmacist
15795-040
WI
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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