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Individual

DR. BRENT HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 FRANCE AVE S STE 400, EDINA, MN 55435-2137
(952) 225-1630
Mailing address
6565 FRANCE AVE S STE 400, EDINA, MN 55435-2137
(952) 225-1630

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
25MA10284000
NJ
207VE0102X
Reproductive Endocrinology Physician
Primary
68991
MN

Other

Enumeration date
07/01/2014
Last updated
08/09/2021
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