Dr. Todd Jeffrey Hanson, O.D.
Optometrist in St Anthony, MN. Individual provider (NPI-1).
NPI number1740344894
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1740344894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Todd Jeffrey Hanson
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2443 | MN | Yes |
Practice location
2929 Pentagon DrSt Anthony, MN 55418-3208
Phone 612-781-4730 · Fax 612-706-2337
Mailing address
2929 Pentagon DrSt Anthony, MN 55418-3208
Phone 612-781-4730 · Fax 612-706-2337
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