Provider Demographics
NPI:1811561376
Name:HANES, ERNEST TAIJIN (DO)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:TAIJIN
Last Name:HANES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:ERNEST
Other - Middle Name:TAIJIN
Other - Last Name:JARAMILLO-HANES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:3601 MINNESOTA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4561
Mailing Address - Country:US
Mailing Address - Phone:612-879-1000
Mailing Address - Fax:612-879-0722
Practice Address - Street 1:3601 MINNESOTA DR STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55435-4561
Practice Address - Country:US
Practice Address - Phone:612-879-1000
Practice Address - Fax:612-879-0722
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN321142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty