MEDICARE: MICHAEL E HANSON MD

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
1	207L00000X	Anesthesiology Physician	9396	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861464190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E HANSON MD

Provider Business Mailing Address
First Line	:	PO BOX 29504
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89126-9504
Country	:	US
Telephone Number	:	702-878-0070
Fax Number	:	702-870-2520

Provider Business Practice Location Address
First Line	:	3010 W CHARLESTON BLVD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1944
Country	:	US
Telephone Number	:	702-878-0070
Fax Number	:	702-878-2520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/08/2007

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Directions to “ MICHAEL E HANSON MD” Practice Location

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