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Individual

DR. DUWAYNE ALLEN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1861 KNOLLWOOD DR, FAIRMONT, MN 56031-2303
(507) 238-2985
Mailing address
1861 KNOLLWOOD DR, FAIRMONT, MN 56031-2303
(507) 238-2985

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20233
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-13394
MEDICA
MN
01
20512
SIOUX VALLEY
MN
05
39272300
MN
01
5T521HA
BCBS
MN
01
604587
ARAZ
MN
01
7302
AVERA
FM
05
959502
IA
01
A011
CHAMPUS
MN
01
HP29868
HEALTH PARTNERS
MN
01
MH9041000376
PPO
MN
Enumeration date
12/05/2005
Last updated
05/29/2012
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