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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAC JACOB HANSEN

Active

MAC JACOB HANSEN is a Student (Health Education/Training) healthcare provider located in BURNSVILLE, Minnesota. NPI 1114640554 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BURNSVILLE, MN

Registration Details

NPI Number
1114640554
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2022 (3.8703613368514 yrs)
Last Updated
Sep 21, 2022

Practice Information

Address
1705 SOUTHCROSS DR W STE 101
BURNSVILLE, MN, 553067012
Browse MN providers · Browse ZIP 55306
Phone
9522251575
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in BURNSVILLE, MN

Name Credential NPI
BECCA NICOLE COOPER 1255669487
DR. MOLLY CARADONNA PSY.D. 1245601681
MARGUERITE VIHOVDE 1770014581
JESSICA JOANNE PADNIEWSKI DO 1225692007
KIMBERLY MAE SCOTT 1083369797
BRIANNA ANDERSON 1033832472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.