Individual
DR. TINA M HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01054444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369900
—
IN
01
—
23-1806
MCARE PART A
MI
01
—
382406558
TAX ID
MI
01
—
B056065
MEDICARE PART B
MI
Enumeration date
02/06/2006
Last updated
12/09/2013
Update your record
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