Search › Minnesota › 152W00000X
Joshua Hanen, JD, OD, FAAO
NPI 1407293061 · on the registry since 2013
Practice
- Address
- 4323 E Lake St
Minneapolis, MN 55406 - Phone
- (612) 722-1003
- Fax
- (612) 721-6336
- Organisation at this address
- River Lake Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
152WL0500X
152WP0200X
152WS0006X
152WV0400X
152WX0102X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota