Individual
KIERSTAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 263-8700
Mailing address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
08/29/2022
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