Individual
ISIS A HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22745 KELLY RD, EASTPOINTE, MI 48021
(586) 771-1000
(586) 779-0058
Mailing address
22745 KELLY RD, EASTPOINTE, MI 48021
(586) 771-1000
(586) 779-0058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101770044
—
MI
Enumeration date
07/26/2006
Last updated
12/18/2009
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