Individual provider · NPI-1

Kristin R Hanson, M.D.

Family Medicine · Robbinsdale, MN

NPI number1205110574
StatusActive
Last updated in NPPESApr 26, 2022

Details

NPI
1205110574
Entity type
Individual (NPI-1)
Name
Kristin R Hanson
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2011
Certification date
Apr 26, 2022
Last updated
Apr 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine61289MNYes
207Q00000X Family MedicineTRN16834FL

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Phone 763-520-2000

Mailing address

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

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