Individual
SARAH M. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34014039
OH
207RI0200X
Infectious Disease Physician
12762255-1204
UT
207RI0200X
Infectious Disease Physician
Primary
77780
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408522
—
OH
Enumeration date
07/31/2014
Last updated
10/17/2024
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