Hanson, Marilee Ann

Hanson, Marilee Ann is an individual health care provider with primary practice located at 710 E 24Th St Ste 403, Minneapolis MN 55404-3827. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Other Service Providers / Specialist is her primary health care specialty. Hanson, Marilee Ann can be contacted via phone (612) 870-1334.

Contact Information

Primary practice address
710 E 24Th St Ste 403 Minneapolis MN 55404-3827
Phone: (612) 870-1334
Fax: (612) 871-0864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36557 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G76967 California

Profile Details

NPI number 1730185661
LBN Legal business name Hanson, Marilee Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Nov 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730185661 NPPES
Minnesota Other 122M9HA BLUE CROSS
Minnesota MEDICAID 892930100 BLUE CROSS
Minnesota Other 0703002 BLUE CROSS

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