Tyler Hanson ATC

NPI 1245633585 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1245633585
Gender Male
Enumeration Date 10/01/2014
Last Updated 10/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
775 PRAIRIE CENTER DR
EDEN PRAIRIE MN, 55344-7314, US
Phone (952) 944-5314
Fax (952) 944-0092
Business Location
775 PRAIRIE CENTER DR
EDEN PRAIRIE MN, 55344-7314, US
Phone (952) 944-5314
Fax (952) 944-0092
Toxanomy
Taxonomy Code 2255A2300X
License State Minnesota
License Number 2174
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According to our database, Mr. Tyler Hanson ATC NPI is 1245633585, taxonomy code is 2255A2300X and license number is 2174, license state is located at Minnesota. Tyler Hanson ATC physically located at 775 Prairie Center Dr, Eden Prairie MN, 55344-7314. NPI Number Tyler Hanson ATC has the Individual type.

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1245633585 NPI number is provided on an as is basis without warranty of any kind. 1245633585 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Hanson ATC are for informational purposes only.