Individual
JORDAN ROBERT HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD, BELOIT, WI 53511-2230
(608) 364-2293
(608) 364-5525
Mailing address
BELOIT HEALTH SYSTEM INC, 1969 W HART ROAD, BELOIT, WI 53511-2230
(608) 364-2293
(608) 364-5525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77162
WI
207R00000X
Internal Medicine Physician
77162-21
WI
208M00000X
Hospitalist Physician
77162
WI
208M00000X
Hospitalist Physician
Primary
77162-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209531
—
WI
Enumeration date
05/28/2019
Last updated
09/26/2023
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