| Doctor Name: | ETHAN CHRISTIAN HANSEN |
| NPI Number: | 1447486899 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35.095426 |
| Business Practice Address: | 3400 Spruce St One Maloney Philadelphia, PA - 191044206 |
| Business Phone Number: | 2156623264 |
| Business Fax Number: | |
| Mailing Address: | 10567 Sawmill Pkwy, Suite 100 POWELL |
| State: | OH |
| Postal Code: | 430656672 |
| Phone Number: | 6142101885 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2009 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 35.095426 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |