Individual
CHRISTOPHER T HANNASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD, SUITE 500, EAST LANSING, MI 48823-5376
(517) 432-6144
(517) 432-6150
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 436-2392
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101019902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194085068
—
MI
01
—
5101019902
STATE OF MICHIGAN
MI
Enumeration date
05/24/2012
Last updated
02/13/2017
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