Individual
MR. MICHAEL L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
9500 INDEPENDENCE DR, STE 900, ANCHORAGE, AK 99507-4600
(907) 522-1341
(907) 522-1343
Mailing address
9500 INDEPENDENCE DR, STE 900, ANCHORAGE, AK 99507-4600
(907) 522-1341
(907) 522-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
220
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5248161
AETNA
—
Enumeration date
08/25/2005
Last updated
01/12/2017
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