TY O HANSON

PRAIRIE DERMATOLOGY PC

Dr TY O HANSON is a male medical professional, specializing in Dermatology. He graduated in 2002 from Pikeville College School Of Osteopathic Medicine.

Contact

PRAIRIE DERMATOLOGY PC

201 S LLOYD ST
SUITE E206
ABERDEEN
SD
574014509

Tel: 6052260560

TY O HANSON Information

Npi 1396804597
Pac Id 4284735598
Professional Enrollment Id I20070730000832
Last Name HANSON
First Name TY
Middle Name O
Suffix
Gender M
Credential
Medical School Name PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 2002
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRAIRIE DERMATOLOGY PC
Group Practice Pac Id 7719079193
Number Of Group Practice Members 2
Line 1 Street Address 201 S LLOYD ST
Line 2 Street Address SUITE E206
Marker Of Address Line 2 Suppression
City ABERDEEN
State SD
Zip Code 574014509
Phone Number 6052260560
Hospital Affiliation Ccn 1 430014
Hospital Affiliation Lbn 1 AVERA ST LUKES
Hospital Affiliation Ccn 2 430097
Hospital Affiliation Lbn 2 SANFORD MEDICAL CENTER ABERDEEN
Hospital Affiliation Ccn 3 431335
Hospital Affiliation Lbn 3 HURON REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 4 431316
Hospital Affiliation Lbn 4 COMMUNITY MEMORIAL HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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