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Mac Jacob Hansen
Student in an Organized Health Care Education/Training Program in Burnsville, Minnesota
NPI 1114640554

Mac Jacob Hansen is a Student in an Organized Health Care Education/Training Program based in Farmington, MN. Mac Jacob Hansen practices in Burnsville, MN. The NPI Number for Mac Jacob Hansen is 1114640554 and holds a License No. (Minnesota).

The current practice location address for Mac Jacob Hansen is 1705 Southcross Dr W Ste 101, Burnsville, MN and can be reached out via phone at 952-225-1575.

Location: 1705 Southcross Dr W Ste 101, Burnsville, MN, 55024-0363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114640554
Provider Name
Mac Jacob Hansen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1705 Southcross Dr W Ste 101, Burnsville, MN, 55024-0363
Phone Number
952-225-1575
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 Southcross Dr W Ste 101
City
Burnsville
State
Minnesota
Zip
55306-7012
Phone Number
952-225-1575
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Southcross Dr W Ste 101
City
Burnsville
State
Minnesota
Zip
55306-7012
Phone Number
952-225-1575
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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