Jeffrey A Hanson, MD Valid NPI

Individual provider · Family Medicine Physician · New Brighton, MN

NPI

1245206192

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

31714 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-28

Last updated

2012-04-12