Organization
KENNETH C HANSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C HANSON MD (OWNER)
(989) 723-7619
Entity
Organization
Contact information
Practice address
802 W KING ST, SUITE Q, OWOSSO, MI 48867-2100
(989) 723-7619
(989) 723-0090
Mailing address
802 W KING ST, SUITE Q, OWOSSO, MI 48867-2100
(989) 723-7619
(989) 723-0090
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301027519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007800511
BCBS OF MICHIGAN
MI
Enumeration date
11/07/2006
Last updated
08/22/2020
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