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Individual

DR. BURKE E HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 MT HIGHWAY 91 S, SUITE 204, DILLON, MT 59725-3535
(406) 683-4252
(406) 683-9403
Mailing address
30 MT HIGHWAY 91 S, SUITE 204, DILLON, MT 59725-3535
(406) 683-4252
(406) 683-9403

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10081
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047840
MT
Enumeration date
09/14/2005
Last updated
10/22/2020
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