Individual
DR. MARK RICHARD HANSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1303 PACKARD ST, SUITE 202, ANN ARBOR, MI 48104-3874
(734) 769-1130
(734) 769-2816
Mailing address
4706 PARKSIDE CT, ANN ARBOR, MI 48105-9440
(734) 913-8121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014713
MI
Other
Enumeration date
08/22/2006
Last updated
09/15/2021
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