Sandra Lea Hanson, | |
3605 Mayfair Ave, Hibbing, MN 55746-2935 | |
(218) 262-3441 | |
Not Available |
Full Name | Sandra Lea Hanson |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 3605 Mayfair Ave, Hibbing, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619967775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 24573 (Minnesota) | Primary |
Entity Name | Range Regional Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Mailing Address | Practice Location Address |
---|---|
Sandra Lea Hanson, 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441 | Sandra Lea Hanson, 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441 |
Dr. John S Shenk, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 | |
Dr. William Charles Vincent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6907 | |
Dakota A Orvedal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-722-3700 | |
Laura Marie Stoiber, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 |