Most Relevant Information
Provider Data
| NPI Number: | 1003491309 |
| Provider Name: | MICHAEL S HANSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 171WH0202X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2021 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
707 W 5TH AVE APT 1016
SPOKANE
WA
992042780
Practice Location Phone/Fax
| Phone: | 5093449739 |
| Fax: |
Provider Mailing Location
707 W 5TH AVE APT 1016
SPOKANE
WA
992042780
Provider Mailing Phone/Fax
| Phone: | 5093449739 |
| Fax: |