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Individual

ERIC P HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
705 RILEY HOSPITAL DR, RR 307, INDIANAPOLIS, IN 46202-5109
(317) 274-2172
(317) 278-3031
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
01082538A
IN
2080P0216X
Pediatric Rheumatology Physician
MD426741
PA

Other

Enumeration date
08/29/2007
Last updated
08/07/2019
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