# JAMES E. HANLON MD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306163100
- **Authorized official:** DR. JAMES E HANLON MD (OWNER)
- **Authorized official phone:** (269) 375-6079

## Contact information

- **Practice address:** 8145 VALLEYWOOD LN, SUITE B, PORTAGE, MI 49024-5296
- **Practice address phone:** (269) 324-9162
- **Practice address fax:** (269) 375-6078
- **Mailing address:** 8145 VALLEYWOOD LN, SUITE B, PORTAGE, MI 49024-5296
- **Mailing address phone:** (269) 324-9162
- **Mailing address fax:** (269) 375-6078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/03/2010
