Individual
RONNELL ALLEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 EAST POND ROAD, EAGAN, MN 55122-2879
(651) 528-7243
(651) 493-0083
Mailing address
1414 EAST POND ROAD, EAGAN, MN 55122-2879
(651) 528-7243
(651) 493-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887950800
—
MN
Enumeration date
01/11/2006
Last updated
04/07/2011
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