Individual
ERIC GLEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16300 OLD EMMITSBURG RD, EMMITSBURG, MD 21727-7700
(301) 447-5386
(301) 447-6828
Mailing address
12 OLD OAK PL, THURMONT, MD 21788-1858
(301) 693-2832
(301) 447-6828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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