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Individual
HANNAH FINNERTY
Active
Individual
HANNAH FINNERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5601009510
MI
363A00000X
Physician Assistant
Primary
5601009510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315211855
CONTROLLED SUBSTANCE LICENSE
MI
01
—
5601009510
PHYSICIAN ASSISTANT LICENSE
MI
Enumeration date
06/24/2019
Last updated
02/27/2020
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