Individual
HASSAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 KINGSMILL DR, CHESTERTON, IN 46304-2266
(219) 916-9339
Mailing address
375 KINGSMILL DR, CHESTERTON, IN 46304-2266
(219) 916-9339
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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