Individual
MARY MICHELE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2223
(319) 353-6754
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2223
(319) 353-6754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001417
IA
Other
Enumeration date
12/13/2006
Last updated
06/24/2025
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