Individual
STEVEN PAUL HANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 OSBORNE RD NE, UNITY HOSPITAL PHYSICIANS LOUNGE, FRIDLEY, MN 55432-2718
(763) 208-5182
Mailing address
3231 FLAG AVE S, ST LOUIS PARK, MN 55426-3718
(952) 908-1124
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
40709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882940300
—
MN
Enumeration date
09/02/2006
Last updated
11/10/2020
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