MICHAEL HANSON
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1396302345- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15052 GLEASON PATH STE 104, APPLE VALLEY, MN, 551247199
- Phone
- (952) 432-5889
- Fax
- (952) 432-1878
Specialties & Taxonomies
Optometrist
Primary License: MN #3612