Individual
JEFFREY W HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1734
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995039
BCBS
SD
05
—
5701140
—
SD
05
—
847020100
—
MN
Enumeration date
07/28/2006
Last updated
03/17/2018
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