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Sandra Lea Hanson

Surgery in Hibbing, MN. Individual provider (NPI-1).

NPI number1619967775
StatusActive
Last updated in NPPESSep 13, 2013

Details

NPI
1619967775
Entity type
Individual (NPI-1)
Name
Sandra Lea Hanson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2005
Last updated
Sep 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery24573MNYes

Practice location

3605 Mayfair Ave
Hibbing, MN 55746-2935

Phone 218-262-3441

Mailing address

3605 Mayfair Ave
Hibbing, MN 55746-2935

Phone 218-262-3441

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