Individual
MARY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 SOUTH EUCLID AVENUE, ST LOUIS, MO 63110-1093
(613) 795-4184
Mailing address
73 OBLATS AVENUE, OTTAWA, ONTARIO K1S 5-W1
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
103023
ZZ
Other
Enumeration date
12/27/2019
Last updated
08/18/2020
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