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HANSEN, RONNELL ALLEN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: HANSEN IMAGING DIAGNOSTICS PC
1414 EAST POND ROAD
EAGAN MN 55122-2879

Address last updated on 8/15/2011
Phone #: (612) 239-7444
Fax #: (651) 493-0083
County: NOT OKLAHOMA
License: 27066
Dated: 9/14/2009
Expires: 9/1/2011
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: 6 / 1994
CME Year: 2012
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HANSEN IMAGING DIAGNOSTICS PC
1414 EAST POND ROAD
EAGAN MN 55122-2879

Phone #: (612) 239-7444
Fax #: (651) 493-0083
Mon:
Tue:
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Thu:
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