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NPI Code Detail

MEDICARE: MORIN MICHAEL HANSON M.D.

MEDICARE: MORIN MICHAEL HANSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician105535MO

General Provider Information

NPI Number : 1083617294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORIN MICHAEL HANSON M.D.
Provider Business Mailing Address
First Line : 11125 DUNN RD
Second Line : STE 402
City : SAINT LOUIS
State : MO
Zip : 63136-6132
Country : US
Telephone Number : 314-741-3400
Fax Number : 314-741-4357
Provider Business Practice Location Address
First Line : 11125 DUNN RD
Second Line : STE 402
City : SAINT LOUIS
State : MO
Zip : 63136-6132
Country : US
Telephone Number : 314-741-3400
Fax Number : 314-741-4357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/22/2020

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Directions to “ MORIN MICHAEL HANSON M.D.” Practice Location

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