Individual
WALTER HANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8281 ARNOLD ST, DEARBORN HEIGHTS, MI 48127-1218
(313) 333-8745
Mailing address
8281 ARNOLD ST, DEARBORN HEIGHTS, MI 48127-1218
(313) 333-8745
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60318522
CLIENT ID NUMBER
MI
Enumeration date
08/09/2015
Last updated
08/09/2015
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