Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RONALD WAYNE HANSON JR., MD
ActiveDR. RONALD WAYNE HANSON JR., MD is a Sports Medicine healthcare provider located in RICHFIELD, Minnesota. NPI 1790739092 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · RICHFIELD, MN
Registration Details
- NPI Number
- 1790739092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (20.192158195859 yrs)
- Last Updated
- Oct 21, 2015
- Licenses
-
48888 (CO)49997 (MN)
Practice Information
- Address
-
6636 CEDAR AVE S STE 170RICHFIELD, MN, 554232710Browse MN providers · Browse ZIP 55423
- Phone
- 6128005096
- Fax
- 8775117874
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.