Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gregory Russell Hannon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659714913

Dr. Gregory Russell Hannon, MD is a Dermatology in Edina, Minnesota. Graduated from Mayo Medical School in 2013, 13 years ago. Practices with Dermatology Specialists, PA, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Trained at
Mayo Medical School
Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3316 W 66th St Ste 200
Edina, MN 55435-2544
Phone: (952) 303-8600
Fax: (952) 920-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 775 Prairie Center Dr Ste 370, Eden Prairie, MN 55344-7330 — (952) 920-3808

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 59142 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659714913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Dermatology Specialists, Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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