Individual
THOMAS L HANSON
Active
Individual
THOMAS L HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
29226
MN
207W00000X
Ophthalmology Physician
Primary
4870
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11357
BLUE SHIELD
ND
05
—
14255
—
ND
01
—
2M042HA
BLUE SHIELD
MN
01
—
892822
VISION SERVICES
ND
Enumeration date
10/11/2006
Last updated
07/08/2007
Update your record
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