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Dr. Ewa M Hansen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ewa M Hansen
Gender: F
Provider License Number If Given: 35045807

NPI Information:

NPI: 1235132275
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/10/2017

Provider Business Mailing Address:

Address: 3740 W SYLVANIA AVE STE 250
Toledo, OH 43623
Phone Number: 4194736670
Fax Number: 4194739959

Provider Business Practice Location Address:

Address: 3740 W SYLVANIA AVE STE 250
Toledo, OH 43623
Phone Number: 4194736670
Fax Number: 4194739959

Provider Taxonomy:

Primary: 208000000X
Secondary (if any): 208000000X
State: OH

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