MICHELLE NYBERG HANSON (NPI# 1235148164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235148164 |
| Entity Type | Individual |
| Full Name | MICHELLE NYBERG HANSON |
| Credential | M.D. |
| Practice Address |
111 17th Ave E Alexandria MN 56308-5273 |
| Mailing Address |
3701 12th St N Ste 201 Saint Cloud MN 56303-2253 |
| Practice Telephone | 3207621511 |
| Practice Fax Number | 3207626101 |
| Mailing Telephone | 3202536554 |
| Mailing Fax Number | 3202531218 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
37636 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711532 | Michelle A Hanson | Speech-Language Pathologist | 16021 18th St Se, Hunter, ND 58048-9730 | 2018-05-22 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1659778413 | Michelle Anne Hanson | Counselor | 750 Swift Blvd Ste 12, Richland, WA 99352-3521 | 2014-11-21 |
| 1982838843 | Michelle Ann Hanson | Dietitian, Registered | 716 Vine St, Hudson, WI 54016-1725 | 2009-05-06 |
| 1639789084 | Michelle Susanne Hanson | Behavior Technician | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-07-31 |
| 1982224424 | Michelle Hanson | Student in an Organized Health Care Education/Training Program | 7501 Riverside Pkwy, Tulsa, OK 74136-5056 | 2020-04-24 |
| 1528459518 | Michelle Hanson | Massage Therapist | 10903 Excelsior Blvd, Hopkins, MN 55343-3420 | 2015-02-11 |
| 1366880320 | Michelle Suzanne Hanson | Speech-Language Pathologist | 683 State Ave, Dickinson, ND 58601-4660 | 2013-06-11 |
| 1649499625 | Michelle Hanson | Massage Therapist | 28469 Us Highway 19 N, 402, Clearwater, FL 33761-2512 | 2007-04-25 |
| Street Address |
111 17TH AVE E |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424305 | Douglas County Hospital | General Acute Care Hospital | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-06-01 |
| 1679047013 | Kayla Hughes | Nurse Anesthetist, Certified Registered | 111 17th Ave E, Alexandria, MN 56308-5273 | 2019-01-18 |
| 1750776530 | Benjamin Andrew Kitt | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2015-03-30 |
| 1760873491 | Amanda Kristine Nefstead | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2015-02-17 |
| 1558767483 | Samantha Bourcy | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2014-11-04 |
| 1083029490 | Amanda Leigh Knettel | Physical Therapist | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-24 |
| 1538573613 | Dane Jason Mitteness | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-17 |
| 1013334572 | Meghan Ruhr | Registered Nurse | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-03-23 |
| 1598196149 | Heidi Stark | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2013-12-09 |
| 1396174330 | Michael James Kunstle | Physician Assistant | 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699097360 | Alexandria Pathology Laboratory, LLC | Pathology | 3510 Parliament Ct, Alexandria, LA 71303-3135 | 2010-02-23 |
| 1093927782 | Louis B Brill II | Pathology | 6607 Thackwell Way, Unit 2210, Alexandria, VA 22315-6106 | 2007-05-04 |
| 1174571178 | Michael Constantinescu | Pathology | 5931 Toria Dr, Alexandria, LA 71303-3792 | 2006-05-04 |
| 1831173491 | William Enderle Roberts | Pathology | 1240 Southampton Dr, Alexandria, LA 71303 | 2005-12-06 |
| 1881692283 | Stephen H. Norman | Pathology | 4203 Willowick Blvd, Alexandria, LA 71303-2839 | 2005-07-09 |
| 1720491533 | Joseph Charles Marrazzo | Pathology | 211 4th St, Alexandria, LA 71301 | 2014-06-09 |
| 1588974828 | Samantha Morris Redfield | Pathology | 211 4th St, Alexandria, LA 71301-8421 | 2010-10-20 |
| 1588776678 | Yan Liu | Pathology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2006-08-31 |
| 1629181169 | Alexandria Pathology Associates, P.C. | Pathology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2006-08-17 |
| 1982628624 | Mary Paula Neumann | Pathology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2006-07-26 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.