Individual
MICHAEL L HATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 PLAZA DR, SOUTH SIOUX CITY, NE 68776-3144
(402) 412-4220
(712) 494-1365
Mailing address
200 GOLD CIR STE 120, DAKOTA DUNES, SD 57049-5501
(605) 217-0700
(605) 217-0701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18829
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025302400
—
NE
05
—
3929745
—
IA
Enumeration date
02/22/2006
Last updated
02/27/2026
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