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Susan Janelle Hanson, PA-C
Medical Physician Assistant in Fargo, North Dakota
NPI 1114966751

Susan Janelle Hanson is a Medical Physician Assistant based in Fargo, ND and is specialized in Medical. Susan Janelle Hanson practices in Fargo, ND and has the professional credentials of PA-C. The NPI Number for Susan Janelle Hanson is 1114966751 and holds a License No. PAC0312 (North Dakota).

The current practice location address for Susan Janelle Hanson is 1707 Gold Dr, Fargo, ND and can be reached out via phone at 701-280-2033 and via fax at 701-232-5578. You can also correspond with Susan Janelle Hanson through the mailing address at 4450 31ST AVE S, FARGO, ND - 58104-4557 (mailing address contact number: 701-280-2033).

Location: 1707 Gold Dr, Fargo, ND, 58104-4557
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Provider Profile Details
NPI Number
1114966751
Provider Name
Susan Janelle Hanson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1707 Gold Dr, Fargo, ND, 58104-4557
Phone Number
701-280-2033
Fax Number
701-232-5578
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11277 05 ND
2303752 01 AMERICAS PPO
24823 01 ND ND BLUE SHIELD
Q25266 01 ND ND WORKERS COMP
P50714 01 HEALTH PARTNERS
01-19213 01 MEDICA
HN10910428 01 PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1707 Gold Dr
City
State
Zip
58103-6413
Phone Number
701-280-2033
Fax Number
701-232-5578
person
Provider Business Mailing Address Details
Address
1707 Gold Dr
City
State
Zip
58103-6413
Phone Number
701-280-2033
Fax Number
701-232-5578
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0312 (North Dakota)
Definition
Definition to come...
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