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Individual

MICHAEL T. HANIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26947
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083667
IA
Enumeration date
07/08/2005
Last updated
08/17/2011
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