Provider Demographics
NPI:1871886523
Name:HANSON, ERIN LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LYNN
Last Name:HANSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1406 6TH AVE N
Mailing Address - Street 2:ST CLOUD HOSPITAL
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1900
Mailing Address - Country:US
Mailing Address - Phone:320-251-2700
Mailing Address - Fax:320-656-7115
Practice Address - Street 1:1900 CENTRACARE CIR # 2300
Practice Address - Street 2:CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-5000
Practice Address - Country:US
Practice Address - Phone:320-654-3630
Practice Address - Fax:320-654-3657
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2014-09-26
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Provider Licenses
StateLicense IDTaxonomies
OH58.003710207V00000X
MN58351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology