Chad Michael Hanson DDS

NPI 1073587366 - Dentist - 1223G0001X

NPI Details
NPI 1073587366
Gender Male
Enumeration Date 02/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
405 E MAIN STREET
BLOOMING PRAIRIE MN, 55917, US
Phone (507) 583-2141
Fax (507) 583-7574
Business Location
405 E MAIN STREET
PO BOX 3037
BLOOMING PRAIRIE MN, 55917, US
Phone (507) 583-2141
Fax (507) 583-7574
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 11642
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According to our database, Chad Michael Hanson DDS NPI is 1073587366, taxonomy code is 1223G0001X and license number is 11642, license state is located at Minnesota. Chad Michael Hanson DDS physically located at 405 E Main Street, Blooming Prairie MN, 55917. NPI Number Chad Michael Hanson DDS has the Individual type.

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1073587366 NPI number is provided on an as is basis without warranty of any kind. 1073587366 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Michael Hanson DDS are for informational purposes only.