Individual
MELINDA C HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Mailing address
12339 STRATFORD DR, CLIVE, IA 50325-8148
(515) 263-9107
(515) 265-9888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415570
—
IA
01
—
09741
WELLMARK, ANKENY OFFICE
IA
01
—
35887
WELLMARK BLUE SHIELD
IA
Enumeration date
06/13/2005
Last updated
10/31/2007
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