SUSAN JANELLE HANSON

FARGO, ND
NPI1114966751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ND  PAC0312)
Enumeration Date2006-06-06
Last Update Date2019-04-05
Business Address
SUSAN JANELLE HANSON PA-C
1707 GOLD DR
FARGO, ND 58103-6413
Phone number: 701-280-2033
Mailing Address
SUSAN JANELLE HANSON PA-C
4450 31ST AVE S STE 102
FARGO, ND 58104-4557
Phone number: 701-280-2033