NPI 1013786425

Glen Thomas Hansen, PHD

Practitioner Clinical Laboratory Director (Non-physician) San Diego, CA

Practice location

Address: 10581 Roselle St, San Diego, CA 92121-1519
Phone: (858) 258-9493
Mailing address: 4665 Goldenrod Ln N, Minneapolis, MN 55442-2493

Registered specialties

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X

Other Technician, Pathology providers in California →

Registry record

NPI: 1013786425
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2023
Record last updated: 27 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.