Timothy Joseph Hansen Valid NPI

Individual provider · Physician Assistant · Novi, MI

NPI

1295367035

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5601010159 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-02-10

Last updated

2022-04-04