Individual
NATHAN BRYAN HANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
172 GARDEN CT, WHITMORE LAKE, MI 48189-9490
(734) 353-9416
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295543
MI
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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