Individual
DR. BRIAN E. WILLIAM HANAK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(203) 645-1706
Mailing address
11234 ANDERSON ST RM 2562B, LOMA LINDA, CA 92354-2804
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A162995
CA
Other
Enumeration date
04/20/2011
Last updated
08/19/2019
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