Dr. Ronald Wayne Hanson Jr., MD
Family Medicine, Sports Medicine in Richfield, MN. Individual provider (NPI-1).
NPI number1790739092
StatusActive
Last updated in NPPESOct 21, 2015
Details
- NPI
- 1790739092
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Wayne Hanson Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2006
- Last updated
- Oct 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 49997 | MN | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 48888 | CO |
Practice location
6636 Cedar Ave S Ste 170Richfield, MN 55423-2710
Phone 612-800-5096 · Fax 877-511-7874
Mailing address
6636 Cedar Ave S Ste 170Richfield, MN 55423-2710
Phone 612-800-5096 · Fax 877-511-7874
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