Provider Demographics
NPI:1447355763
Name:WILSON, ANNE HOKANSON (DC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:HOKANSON
Last Name:WILSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HOKANSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5649 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430
Mailing Address - Country:US
Mailing Address - Phone:763-560-1692
Mailing Address - Fax:
Practice Address - Street 1:3619 85TH AVE N
Practice Address - Street 2:STE B
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443
Practice Address - Country:US
Practice Address - Phone:612-599-7357
Practice Address - Fax:763-493-9111
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3283111N00000X
WI3180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor