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Individual

MR. ERIC JAMES HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7751
Mailing address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285054
MI

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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