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Individual

ANNA HANSMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433-5645
(763) 767-0854
Mailing address
1845 145TH AVE NE, HAM LAKE, MN 55304-6200

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
431802466
MN
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
1669425823
MN
225X00000X
Occupational Therapist
Primary
103332
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669425823
MN
Enumeration date
07/25/2017
Last updated
06/16/2018
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