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Individual

DR. ERIC C HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1663 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 643-8633
(248) 643-8680
Mailing address
1663 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 643-8633
(248) 643-8680

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301045920
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4631975
MI
Enumeration date
11/02/2005
Last updated
10/23/2007
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