Individual
HANNA MARIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6308 8TH AVE, STE 3070, KENOSHA, WI 53143-5031
(262) 656-3710
(262) 656-3715
Mailing address
6308 8TH AVE, ATTN: MEDICAL STAFF OFFICE, KENOSHA, WI 53143-5031
(262) 656-3313
(262) 653-5850
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
66687-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013206556
—
WI
01
—
13905857
CAQH
WI
01
—
66687-20
WI LICENSE
WI
Enumeration date
04/05/2011
Last updated
02/16/2017
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