Individual
DR. JOHN R HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
28500 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1802
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
4301096730
MI
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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