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Contact Information

CARL R HANSEN II, MD
4601 EXCELSIOR BLVD
SUITE 300
SAINT LOUIS PARK, MN55416-4960
 Phone: 952-920-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Neurodevelopmental Disabilities

2084P0005X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CARL R HANSEN II · (Male)

NPI Number 1508114810
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2012
Last updated 08/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 26124
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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