Individual
MR. TERRY EDWARD HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
402 E 2ND ST, DULUTH, MN 55805-1906
(218) 340-0812
Mailing address
1201 N 8TH AVE E, DULUTH, MN 55805-1431
(218) 722-4627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1193
MN
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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