Individual provider · Type 1 NPI

Mac Jacob Hansen

Student in an Organized Health Care Education/Training Program · Burnsville, MN

NPI number 1114640554 Active

Practice location

1705 Southcross Dr W Ste 101
Burnsville, MN 55306-7012

Call (952) 225-1575 Map

Mailing address

PO Box 363
Farmington, MN 55024-0363

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114640554

Mac Jacob Hansen's National Provider Identifier is 1114640554, issued on Sep 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burnsville, MN. The record was last updated on Sep 21, 2022.