Provider Demographics
NPI:1457800393
Name:MEDICAL LEGAL PARTNERS, INC
Entity Type:Organization
Organization Name:MEDICAL LEGAL PARTNERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-432-4131
Mailing Address - Street 1:PO BOX 251505
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-6505
Mailing Address - Country:US
Mailing Address - Phone:612-670-4971
Mailing Address - Fax:
Practice Address - Street 1:411 COUNTY ROAD UU
Practice Address - Street 2:UNIT 3
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-6602
Practice Address - Country:US
Practice Address - Phone:612-670-4971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty
No209800000XAllopathic & Osteopathic PhysiciansLegal MedicineGroup - Multi-Specialty