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Contact Information

RONALD W HANSON JR, MD
6636 CEDAR AVE S STE 170
RICHFIELD, MN55423-2710
 Phone: 612-800-5096
 Fax: 877-511-7874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RONALD W HANSON JR · (Male)

NPI Number 1790739092
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 10/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 48888
  • MN License # 49997
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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